Organization Active NPI

Crocus Home Care LLC

  • Home Health Agency
  • Staten Island, NY
National Provider Identifier
1659791002
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CROCUS HOME CARE LLC
Practice address
63 Gateway Dr
Staten Island, NY 10304-4440
Phone
(917) 685-7210
Fax
(888) 817-4126
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Emin Ruvinov
Title
President
Phone
(917) 685-7210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

63 Gateway Dr
Staten Island, NY 10304-4440

Mailing address

63 Gateway Dr
Staten Island, NY 10304-4440
Phone (917) 685-7210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1659791002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 GATEWAY DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044440",
            "telephone_number": "917-685-7210",
            "fax_number": "888-817-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GATEWAY DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044440",
            "telephone_number": "917-685-7210",
            "fax_number": "888-817-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCUS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "RUVINOV",
        "authorized_official_first_name": "EMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-685-7210"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.