Active NPI
Everhealth Home Care Services LLC
- Home Health Agency
- Staten Island, NY
National Provider Identifier
1851536643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1468L001
- Legal business name
- EVERHEALTH HOME CARE SERVICES LLC
- Practice address
- 1588 Castleton Ave
Staten Island, NY 10302-1313 - Phone
- (718) 420-6416
- Fax
- (718) 420-6417
- NPI assigned
- Dec 8, 2008
- 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
- Dr. Virgilio A Mangonon, MD
- Title
- President/Cfo
- Phone
- (718) 420-6416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1468L001 | NY | Primary |
Addresses
Primary practice location
1588 Castleton Ave
Staten Island, NY 10302-1313
Mailing address
1588 Castleton Ave
Staten Island, NY 10302-1313
Phone (718) 420-6416
Other names 1
- none
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228694400000",
"number": "1851536643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1588 CASTLETON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021313",
"telephone_number": "718-420-6416",
"fax_number": "718-420-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1588 CASTLETON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021313",
"telephone_number": "718-420-6416",
"fax_number": "718-420-6417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERHEALTH HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-08",
"last_updated": "2008-12-08",
"status": "A",
"authorized_official_last_name": "MANGONON",
"authorized_official_first_name": "VIRGILIO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CFO",
"authorized_official_telephone_number": "718-420-6416",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "1468L001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.