Edira Family Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDIRA FAMILY HOME CARE LLC

Practice address

9402 63Rd Dr
Rego Park, NY 11374-2028

Phone

(718) 830-6206

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Irina Korneyeva

Title

Owner

Phone

(718) 830-6206

Specialties & licenses 1

Addresses

Tax ID family

Edira Family Home Care LLC2 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.

• Edira Family Home Care LLC

  • Home Health Aide
  • Forest Hills, NY
  • NPI 1386141661
  NPD tax ID

Locations

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1689491029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742028",
            "telephone_number": "718-830-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742028",
            "telephone_number": "718-830-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIRA FAMILY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "KORNEYEVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-830-6206"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.