Active NPI
Beverly's Home Health Care Inc
- Home Health Agency
- Kew Gardens, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BEVERLY'S HOME HEALTH CARE INC
- Practice address
- 12510 Queens Blvd Ste 5
Kew Gardens, NY 11415-1522 - Phone
- (718) 459-5592
- Fax
- (718) 459-6047
- NPI assigned
- Nov 14, 2006
- Last updated
- Jan 5, 2022
- 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
- Beverly Nichols
- Title
- Director Officer
- Phone
- (718) 459-5592
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9569L001 | NY | |
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
12510 Queens Blvd Ste 5
Kew Gardens, NY 11415-1522
Mailing address
12510 Queens Blvd Ste 5
Kew Gardens, NY 11415-1522
Phone (718) 459-5592
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9569L001 | Other | NY | HOME HEALTH CARE AGENCY |
| 01761260 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
12510 Queens Blvd
Ste 5
Kew Gardens, NY 11415
9812 66th Ave
Rego Park, NY 11374
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Kew Gardens, NY
- NPI 1255403242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641340800000",
"number": "1750453130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD STE 5",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151522",
"telephone_number": "718-459-5592",
"fax_number": "718-459-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD STE 5",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151522",
"telephone_number": "718-459-5592",
"fax_number": "718-459-6047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY'S HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "DIRECTOR OFFICER",
"authorized_official_telephone_number": "718-459-5592"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "9569L001",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH CARE AGENCY",
"identifier": "9569L001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01761260",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.