Elder Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELDER HOME CARE LLC

Practice address

51A Crescent Rd
Port Washington, NY 11050-3328

Phone

19176997442

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Russo

Title

President

Phone

(917) 699-7442

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1861916462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51A CRESCENT RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503328",
            "telephone_number": "19176997442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51A CRESCENT RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503328",
            "telephone_number": "19176997442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-699-7442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne M Dunne, RN
• Marie T Eagan, D.C.
• Pegah Ebrahim-Hakkak, RPH
• Paul A. Eisen, D.M.D.
• Sally Shore Eisenman, PH.D
• Elizabeth Engelman PHD Psychologist PC
• Kyle Eng, DPT
• Harriet Englander, M.S.
• Epstein Psychology Services PLLC
• Tijen B. Eron, PH.D.

• In Home Supportive Care Agency in Port Washington, NY
• Providers in Port Washington, 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 Feb 12, 2020; 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.