Community Care Consultants, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

078847 Issued in NY

Legal business name

COMMUNITY CARE CONSULTANTS, INC

Practice address

1318 Gravesend Neck Rd
Suite 205
Brooklyn, NY 11229-4309

Phone

(866) 765-1959

Fax

(866) 531-0536

NPI assigned

Jan 31, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Yevgeniya Mazurovsky, LMSW

Title

President

Phone

(866) 765-1959

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1851663314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ARKANSAS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081502",
            "telephone_number": "917-685-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 GRAVESEND NECK RD",
            "address_2": "SUITE 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294309",
            "telephone_number": "866-765-1959",
            "fax_number": "866-531-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "MAZUROVSKY",
        "authorized_official_first_name": "YEVGENIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-765-1959",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "078847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.