Organization Active NPI

Everhealth Home Care Services LLC

  • Home Health Agency
  • Staten Island, NY
National Provider Identifier
1851536643
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1468L001 Issued in NY
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

Updated by the provider on Dec 8, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.