Organization Active NPI

Tri-Star Cdpa Service, Inc

  • Home Health Agency
  • Flushing, NY
National Provider Identifier
1831640820
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 14, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.