Direct Healthsource, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIRECT HEALTHSOURCE, INC

Practice address

9809 101St Ave
Ground Floor
Ozone Park, NY 11416-2600

Phone

(718) 529-1849

Fax

(718) 529-1545

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Abdul Hashim

Title

Director/Cfo

Phone

(718) 529-1849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1750732236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 101ST AVE",
            "address_2": "GROUND FLOOR",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162600",
            "telephone_number": "718-529-1849",
            "fax_number": "718-529-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 101ST AVE",
            "address_2": "GROUND FLOOR",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162600",
            "telephone_number": "718-529-1849",
            "fax_number": "718-529-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT HEALTHSOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "HASHIM",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "DIRECTOR/CFO",
        "authorized_official_telephone_number": "718-529-1849"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Diaz, COTA
• Fortunato S Difranco, INTERNAL MEDICINE
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• Home Health Agency in Ozone Park, NY
• Providers in Ozone Park, 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 Apr 10, 2017; 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.