Active NPI
Tri-Star Cdpa Service, Inc
- Home Health Agency
- Flushing, NY
National Provider Identifier
1831640820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRI-STAR CDPA SERVICE, INC
- Practice address
- 15915 Northern Blvd Ste 109
Flushing, NY 11358-1656 - Phone
- (917) 991-1030
- NPI assigned
- Oct 14, 2016
- 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
- Yong Lee
- Title
- President
- Phone
- (917) 991-1030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
15915 Northern Blvd Ste 109
Flushing, NY 11358-1656
Mailing address
15915 Northern Blvd Ste 109
Flushing, NY 11358-1656
National Provider Directory
National Provider DirectoryLocations
15915 Northern Blvd
Ste 109
Flushing, NY 11358
Phone (917) 991-1030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476403200000",
"number": "1831640820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15915 NORTHERN BLVD STE 109",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15915 NORTHERN BLVD STE 109",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581656",
"telephone_number": "917-991-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-STAR CDPA SERVICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "YONG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-991-1030"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.