Organization Active NPI

Intergen Health, LLC

  • Home Health Agency
  • Bronx, NY
National Provider Identifier
1811384100
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1763L001 Issued in NY
Legal business name
INTERGEN HEALTH, LLC
Practice address
1601 Bronxdale Ave
Suite 204
Bronx, NY 10462-3364
Phone
(718) 346-1000
Fax
(718) 346-1003
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Noah Freedman
Title
Administrator
Phone
(718) 346-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1763L001 NY Primary

Addresses

Primary practice location

1601 Bronxdale Ave
Suite 204
Bronx, NY 10462-3364

Mailing address

1601 Bronxdale Ave
Suite 204
Bronx, NY 10462-3364
Phone (718) 346-1000

Other identifiers 1

IdentifierTypeStateIssuer
1763L001OtherNYNYS DOH LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Intergen Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1811384100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BRONXDALE AVE",
            "address_2": "SUITE 204",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623364",
            "telephone_number": "718-346-1000",
            "fax_number": "718-346-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRONXDALE AVE",
            "address_2": "SUITE 204",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623364",
            "telephone_number": "718-346-1000",
            "fax_number": "718-346-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGEN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-346-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1763L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DOH LICENSE NUMBER",
            "identifier": "1763L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.