Active NPI
Seniorcare HHA, Inc
- Home Health Agency
- Rego Park, NY
National Provider Identifier
1780068049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1888L001
- Legal business name
- SENIORCARE HHA, INC
- Practice address
- 61-61 Woodhaven Blvd Ste. 1P
Rego Park, NY 11374 - Phone
- (718) 285-0705
- Fax
- (718) 457-0577
- NPI assigned
- Jul 16, 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
- Mrs. Julia Borchakovskaia
- Title
- President
- Phone
- (718) 285-0705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1888L001 | NY | Primary |
Addresses
Primary practice location
61-61 Woodhaven Blvd Ste. 1P
Rego Park, NY 11374
Mailing address
61-61 Woodhaven Blvd Ste. 1P
Rego Park, NY 11374
Phone (718) 285-0705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04489589 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
6161 Woodhaven Blvd
Ste 1P
Rego Park, NY 11374
Phone (718) 285-0705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579824000000",
"number": "1780068049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61-61 WOODHAVEN BLVD STE. 1P",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-285-0705",
"fax_number": "718-457-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61-61 WOODHAVEN BLVD STE. 1P",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-285-0705",
"fax_number": "718-457-0577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIORCARE HHA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-16",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A",
"authorized_official_last_name": "BORCHAKOVSKAIA",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-285-0705",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "1888L001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04489589",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.