Assisted Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2160L001 Issued in NY

Legal business name

ASSISTED HOME CARE, LLC

Doing business as

Prime Assisted Home Care

Practice address

3125 Emmons Ave
Brooklyn, NY 11235-1724

Phone

(718) 646-1900

Fax

(718) 646-2254

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Doulos

Title

Ceo

Phone

(718) 646-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prime Assisted Home Care Doing business as

Tax ID family

Assisted Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Assisted Home Care, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1497297618
  NPD tax ID

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1801244637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351724",
            "telephone_number": "718-646-1900",
            "fax_number": "718-646-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351724",
            "telephone_number": "718-646-1900",
            "fax_number": "718-646-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "DOULOS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-646-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2160L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2160L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Assisted Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Brooklyn, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.