Active NPI
Person Centered Care Services Inc
- In Home Supportive Care Agency
- Staten Island, NY
National Provider Identifier
1770978983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PERSON CENTERED CARE SERVICES INC
- Practice address
- 150 Granite Ave
Staten Island, NY 10303-2718 - Phone
- (718) 370-1088
- NPI assigned
- Apr 3, 2015
- 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
- Ms. Cris Marchionne
- Title
- Executive Director
- Phone
- (718) 370-1088
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NY | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NY | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NY | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
150 Granite Ave
Staten Island, NY 10303-2718
Mailing address
150 Granite Ave
Staten Island, NY 10303-2718
Phone (718) 370-1088
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03762094 | Other | NY | MEDICAID PROVIDER ID |
| 02725139 | Other | NY | MEDICAID PROVIDER ID |
| 02750076 | Other | NY | MEDICAID PROVIDER ID |
| 02952876 | Other | NY | MEDICAID PROVIDER ID |
| 02749686 | Other | NY | MEDICAID PROVIDER ID |
| 02750549 | Other | NY | MEDICAID PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
150 Granite Ave
Staten Island, NY 10303
Phone (718) 370-1088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428019200000",
"number": "1770978983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 GRANITE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103032718",
"telephone_number": "718-370-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 GRANITE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103032718",
"telephone_number": "718-370-1088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSON CENTERED CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-03",
"last_updated": "2015-04-03",
"status": "A",
"authorized_official_last_name": "MARCHIONNE",
"authorized_official_first_name": "CRIS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-370-1088",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER ID",
"identifier": "03762094",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER ID",
"identifier": "02725139",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER ID",
"identifier": "02750076",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER ID",
"identifier": "02952876",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER ID",
"identifier": "02749686",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER ID",
"identifier": "02750549",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.