Metrocare Givers Division of Tri-Borough Home Care LTD

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2103L001 Issued in NY

Legal business name

METROCARE GIVERS DIVISION OF TRI-BOROUGH HOME CARE LTD

Practice address

160 Broadway RM 905
New York, NY 10038-4214

Phone

(212) 689-7000

NPI assigned

Nov 17, 2015

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

Tax ID family

Metrocare Givers Division of Tri-Borough Home Care LTD2 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.

• Tri-Borough Home Care LTD

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1306858345
  NPD tax ID

Locations

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1831563675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BROADWAY RM 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384214",
            "telephone_number": "212-689-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BROADWAY RM 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384214",
            "telephone_number": "212-689-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCARE GIVERS DIVISION OF TRI-BOROUGH HOME CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "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": "2103L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02151802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in New York, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.