Ida's Homecare Agency Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9560L001 Issued in NY

Legal business name

IDA'S HOMECARE AGENCY INC.

Practice address

37 W 39TH St
Suite 705
New York, NY 10018-3886

Phone

(212) 719-5504

Fax

(212) 719-5427

NPI assigned

Aug 26, 2009

Last updated

Aug 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jamil Abdul-Kareem

Title

Manager

Phone

(212) 719-5504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1730312653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W 39TH ST",
            "address_2": "SUITE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183886",
            "telephone_number": "212-719-5504",
            "fax_number": "212-719-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W 39TH ST",
            "address_2": "SUITE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183886",
            "telephone_number": "212-719-5504",
            "fax_number": "212-719-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA'S HOMECARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "ABDUL-KAREEM",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-719-5504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9560L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in New York, NY
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• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.