Organization Active NPI

Seniorcare HHA, Inc

  • Home Health Agency
  • Rego Park, NY
National Provider Identifier
1780068049
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1888L001 Issued in NY
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

Updated by the provider on Jan 24, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04489589MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.