Active NPI
Kartushka Home Care
- Adult Care Home Facility
- Amityville, NY
National Provider Identifier
1790030070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 417241
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.