NPIMap

Organization Active NPI

Good Care Agency, Inc.

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1659736486
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1873L001 Issued in NY
Legal business name
GOOD CARE AGENCY, INC.
Practice address
2671 Coney Island Ave
Brooklyn, NY 11235-5004
Phone
(718) 635-3535
Fax
(718) 513-4427
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexander Krutiy
Title
Officer
Phone
(718) 635-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1873L001 NY Primary

Addresses

Primary practice location

2671 Coney Island Ave
Brooklyn, NY 11235-5004

Mailing address

2671 Coney Island Ave
Brooklyn, NY 11235-5004
Phone (718) 635-3535

Other practice location 1

2763 Coney Island Ave
Brooklyn, NY 11235-5015
Phone (718) 635-3535 ext. 113

Other identifiers 1

IdentifierTypeStateIssuer
04175182MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Good Care Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2671 Coney Island Ave
Brooklyn, NY 11235
Phone (718) 635-3535

2763 Coney Island Ave
Brooklyn, NY 11235
Phone 7186353535 ext. 113

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1659736486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355004",
            "telephone_number": "718-635-3535",
            "fax_number": "718-513-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355004",
            "telephone_number": "718-635-3535",
            "fax_number": "718-513-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2763 Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355015",
            "country_code": "US",
            "telephone_number": "718-635-3535 x113",
            "fax_number": "718-513-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "KRUTIY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-635-3535"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1873L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04175182",
            "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 Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.