Active NPI
Anne Blue Home Health Care Agency
- Nursing Care Agency
- Brooklyn, NY
National Provider Identifier
1639377286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 9837L001
- Legal business name
- ANNE BLUE HOME HEALTH CARE AGENCY
- Practice address
- 4708 Church Ave
Brooklyn, NY 11203-3210 - Phone
- (718) 462-2020
- Fax
- (172) 462-7699
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Hyacinth U Blue
- Title
- Director
- Phone
- (718) 462-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 9837L001 | NY | Primary |
Addresses
Primary practice location
4708 Church Ave
Brooklyn, NY 11203-3210
Mailing address
21880 99TH Ave
Queens Village, NY 11429-1206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01701775 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
4708 Church Ave
Brooklyn, NY 11203
Phone (718) 462-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Brooklyn, NY
- NPI 1972765899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210896000000",
"number": "1639377286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21880 99TH AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114291206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4708 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112033210",
"telephone_number": "718-462-2020",
"fax_number": "172-462-7699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNE BLUE HOME HEALTH CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2008-05-16",
"status": "A",
"authorized_official_last_name": "BLUE",
"authorized_official_first_name": "HYACINTH",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-462-2020",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NY",
"license": "9837L001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01701775",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.