Alive Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALIVE HOME CARE SERVICES LLC

Practice address

1412 Anna PL
North Baldwin, NY 11510-1407

Phone

(917) 546-5440

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan Komolafe

Title

President/Administrator

Phone

(917) 546-5440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1851880256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 ANNA PL",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101407",
            "telephone_number": "917-546-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 ANNA PL",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101407",
            "telephone_number": "917-546-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "KOMOLAFE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "917-546-5440"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chantal Amoussou, LMHC
• Rachelle Andre, MS ED

• Home Health Agency in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.