Tri-Borough Certified Health Systems of New York. LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TRI-BOROUGH CERTIFIED HEALTH SYSTEMS OF NEW YORK. LLC

Doing business as

Family Care Certified Services

Practice address

1414 Utica Ave
2ND Floor
Brooklyn, NY 11203-6616

Phone

(718) 745-7508

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Kenrick Cort

Title

Ceo/President

Phone

(718) 282-7619

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Care Certified Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Home health agency certification: CCN 337264

Legal name

TRI-BOROUGH CERTIFIED HEALTH SYSTEMS OF NEW YORK. LLC

Doing business as

FAMILY CARE CERTIFIED

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 13, 1989

Last certification

Sep 19, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Nov 7, 2011 in NY

Enrollment address

1414 Utica Ave 2
Brooklyn, NY 11203-6616
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tri-Borough Certified Health Systems of New York. LLC

  • Home Health Agency
  • Hempstead, NY
  • NPI 1114266962

  1557502408

  Same PAC ID

Listed as

Family Care Certified Services Chha (Brooklyn)CCN 337264 · All quality measures

Ownership

Proprietary

Certified

Jan 13, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Family Care Certified Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Tri-Borough Certified Health Services of New York. LLC

  dba Family Care Certified Services

  • Home Health Agency
  • Hempstead, NY
  • NPI 1245246685
  NPD tax ID
• Tri-Borough Certified Health Services of New York. LLC

  dba Family Care Certified Services

  • Home Health Agency
  • Hempstead, NY
  • NPI 1447208145
  NPD tax ID
• Tri-Borough Certified Health Systems of New York. LLC

  • Home Health Agency
  • Hempstead, NY
  • NPI 1114266962
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1811324783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 UTICA AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036616",
            "telephone_number": "718-745-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 UTICA AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036616",
            "telephone_number": "718-745-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-BOROUGH CERTIFIED HEALTH SYSTEMS OF NEW YORK. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "CORT",
        "authorized_official_first_name": "KENRICK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "718-282-7619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01129157",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Certified Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Care Certified Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tri-Borough Home Care LTD
• Tri-State Foot Care, P.C
• Tri-State Premier Medical Mso, LLC
• Triage Care LLC

• Home Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.