Bronx Jewish Community Council -Home Attendant Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9824L001 Issued in NY

Legal business name

BRONX JEWISH COMMUNITY COUNCIL -HOME ATTENDANT SERVICES INC

Practice address

2930 Wallace Ave
Bronx, NY 10467-8404

Phone

(718) 652-5500

Fax

(718) 798-2398

NPI assigned

Aug 10, 2007

Last updated

Aug 10, 2007By 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

Mrs. Audrey Archibong

Title

Executive Director

Phone

(718) 652-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bronx Jewish Community Council -Home Attendant Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bronx Jewish Community Council Home Attendant Services

  • Home Health Agency
  • Bronx, NY
  • NPI 1023662616
  NPD tax ID

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1750573028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 WALLACE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678404",
            "telephone_number": "718-652-5500",
            "fax_number": "718-798-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 WALLACE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678404",
            "telephone_number": "718-652-5500",
            "fax_number": "718-798-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX JEWISH COMMUNITY COUNCIL -HOME ATTENDANT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "ARCHIBONG",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-652-5500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9824L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00924332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronx Individual & Family Psychology LLC
• Bronx Instant Care Inc
• Bronx Integrative Care NP in Family Health PLLC
• Bronx Internal Medicine
• Bronx Internal Medicine Associates P.C.
• Bronx Jewish Community Council Home Attendant Services
• Bronx Kids Pediatric Dentistry
• Bronx Lebanon Hospital
• Bronx Lebanon Hospital Center
• Bronx Lebanon Hospital Center

• Home Health Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.