Anna M Senior Care Center Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

ANNA M SENIOR CARE CENTER INC

Practice address

15612 107TH Ave
Jamaica, NY 11433-2068

Phone

(347) 494-9362

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Takisha Thomas

Title

Ceo/Founder

Phone

(347) 494-9362

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1710698311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15612 107TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332068",
            "telephone_number": "347-494-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15612 107TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332068",
            "telephone_number": "347-494-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA M SENIOR CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TAKISHA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "347-494-9362"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ORGANZATION",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "ORGANZATION",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ORGANZATION",
            "address_1": "15612 107th Ave",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114332068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle E Angel, PA
• Samanta Anglade
• Nazifa T Anica
• George Louis Anis, MD
• Fnu Anjlee
• Ifrah Ansari, PHARMD
• Richard Antash, LMSW
• Anthony J Mstellone MD PLLC
• Anthony T.R. Green D.D.S.P.C.
• Christal Anthony

• Exclusive Provider Organization in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.