Organization Active NPI

Advance Elite Solution LLC

  • Home Health Agency
  • Richmond Hill, NY
National Provider Identifier
1790299543
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2427L001 Issued in NY
Legal business name
ADVANCE ELITE SOLUTION LLC
Practice address
10516 Jamaica Ave
Richmond Hill, NY 11418-2013
Phone
(917) 660-3895
NPI assigned
Nov 30, 2017
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
German Fayzibayev
Title
President
Phone
(917) 660-3895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2427L001 NY Primary

Addresses

Primary practice location

10516 Jamaica Ave
Richmond Hill, NY 11418-2013

Mailing address

10516 Jamaica Ave
Richmond Hill, NY 11418-2013
Phone (917) 660-3895

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1790299543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182013",
            "telephone_number": "917-660-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10516 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182013",
            "telephone_number": "917-660-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ELITE SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "FAYZIBAYEV",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-660-3895"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2427L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.