Organization Active NPI

Kartushka Home Care

  • Adult Care Home Facility
  • Amityville, NY
National Provider Identifier
1790030070
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
417241 Issued in NY
Legal business name
KARTUSHKA HOME CARE
Practice address
3547 Great Neck Rd Apt 77D
Amityville, NY 11701-4306
Phone
(631) 228-4072
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Ms. Kerlande Lazard, RN
Title
Ceo
Phone
(631) 228-4072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 417241 NY Primary

Addresses

Primary practice location

3547 Great Neck Rd Apt 77D
Amityville, NY 11701-4306

Mailing address

3547 Great Neck Rd Apt 77D
Amityville, NY 11701-4306
Phone (631) 228-4072

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1790030070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 GREAT NECK RD APT 77D",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117014306",
            "telephone_number": "631-228-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 GREAT NECK RD APT 77D",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117014306",
            "telephone_number": "631-228-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARTUSHKA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "LAZARD",
        "authorized_official_first_name": "KERLANDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-228-4072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "417241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.