Active NPI
Super Care Inc
- Home Health Agency
- Brooklyn, NY
National Provider Identifier
1821482498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUPER CARE INC
- Practice address
- 4301 Glenwood Rd
2ND Floor
Brooklyn, NY 11210-2028 - Phone
- (718) 444-5125
- NPI assigned
- Mar 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vadim Agafonov
- Title
- C.O.O
- Phone
- (917) 463-9138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4301 Glenwood Rd
2ND Floor
Brooklyn, NY 11210-2028
Mailing address
4301 Glenwood Rd
2ND Floor
Brooklyn, NY 11210-2028
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1821482498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 GLENWOOD RD",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 GLENWOOD RD",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102028",
"telephone_number": "718-444-5125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPER CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "AGAFONOV",
"authorized_official_first_name": "VADIM",
"authorized_official_title_or_position": "C.O.O",
"authorized_official_telephone_number": "917-463-9138"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.