Organization Active NPI

Affordable Senior Care Inc

  • Non-emergency Medical Transport (VAN)
  • Forest Hills, NY
National Provider Identifier
1821363086
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
33644 Issued in NY
Legal business name
AFFORDABLE SENIOR CARE INC
Practice address
10839 67TH Dr
Forest Hills, NY 11375-2945
Phone
(718) 864-5552
Fax
(718) 732-4508
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Mrs. Alla Yakubov
Title
Vise President
Phone
(718) 864-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 33644 NY Primary

Addresses

Primary practice location

10839 67TH Dr
Forest Hills, NY 11375-2945

Mailing address

1650 Eastern Pkwy
Suite 304
Brooklyn, NY 11233-4804
Phone (718) 864-5552

Other identifiers 1

IdentifierTypeStateIssuer
02981579MedicaidNY

National Provider Directory

National Provider Directory

Locations

1650 Eastern Pkwy
Ste 304
Brooklyn, NY 11233

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1821363086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 EASTERN PKWY",
            "address_2": "SUITE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334804",
            "telephone_number": "718-864-5552",
            "fax_number": "718-732-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10839 67TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752945",
            "telephone_number": "718-864-5552",
            "fax_number": "718-732-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "VISE PRESIDENT",
        "authorized_official_telephone_number": "718-864-5552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "33644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02981579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.