Organization Active NPI

Effective Home Care LLC

  • Home Health Agency
  • Astoria, NY
National Provider Identifier
1801336318
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2001L001 Issued in NY
Legal business name
EFFECTIVE HOME CARE LLC
Practice address
35-01 30TH Avenue
Suite # 405
Astoria, NY 11103-4669
Phone
(718) 806-1666
Fax
(718) 806-1506
NPI assigned
Mar 2, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mr. Gary Kanovich
Title
Chief Operating Officer
Phone
(718) 806-1666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2001L001 NY Primary

Addresses

Primary practice location

35-01 30TH Avenue
Suite # 405
Astoria, NY 11103-4669

Mailing address

35-01 30TH Avenue
Suite # 405
Astoria, NY 11103-4669
Phone (718) 806-1666

Other identifiers 1

IdentifierTypeStateIssuer
04201323MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Effective 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.

Locations

3501 30th Ave
Ste 405
Astoria, NY 11103
Phone (718) 806-1666

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1801336318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-01 30TH AVENUE",
            "address_2": "SUITE # 405",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034669",
            "telephone_number": "718-806-1666",
            "fax_number": "718-806-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-01 30TH AVENUE",
            "address_2": "SUITE # 405",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034669",
            "telephone_number": "718-806-1666",
            "fax_number": "718-806-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "KANOVICH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "718-806-1666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2001L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04201323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.