NPIMap

Organization Active NPI

Selfhelp Community Services, Inc

  • Home Health Agency
  • New York, NY
National Provider Identifier
1699840967
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0308L003 Issued in NY
Legal business name
SELFHELP COMMUNITY SERVICES, INC
Practice address
520 Eighth Avenue
5TH Floor
New York, NY 10018-6553
Phone
(212) 971-7000
Fax
(212) 629-9482
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Mr. Russell Lusak
Title
Vice President, Administration
Phone
(212) 971-7707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0308L003 NY Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

520 Eighth Avenue
5TH Floor
New York, NY 10018-6553

Mailing address

520 Eighth Avenue
5TH Floor
New York, NY 10018-6553
Phone (212) 971-7000

Other identifiers 1

IdentifierTypeStateIssuer
009474438MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Selfhelp Community Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1699840967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 EIGHTH AVENUE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186553",
            "telephone_number": "212-971-7000",
            "fax_number": "212-629-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 EIGHTH AVENUE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186553",
            "telephone_number": "212-971-7000",
            "fax_number": "212-629-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFHELP COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "LUSAK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "VICE PRESIDENT, ADMINISTRATION",
        "authorized_official_telephone_number": "212-971-7707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0308L003",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009474438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.