Active NPI
Complete Human Services VA LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bayside, NY
National Provider Identifier
1750286621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- COMPLETE HUMAN SERVICES VA LLC
- Practice address
- 21212 Northern Blvd
Bayside, NY 11361-3388 - Phone
- (917) 847-0810
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vikram Kaul
- Title
- President
- Phone
- (917) 847-0810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
21212 Northern Blvd
Bayside, NY 11361-3388
Mailing address
21212 Northern Blvd
Bayside, NY 11361-3388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1750286621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21212 NORTHERN BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21212 NORTHERN BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613388",
"telephone_number": "917-847-0810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE HUMAN SERVICES VA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "KAUL",
"authorized_official_first_name": "VIKRAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-847-0810"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.