NPIMap

Organization Active NPI

Home Care at Its Best

  • Home Health Agency
  • Queens Village, NY
National Provider Identifier
1871635987
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C693L001 Issued in NY
Legal business name
HOME CARE AT ITS BEST
Practice address
22121 Jamaica Ave
2ND FL
Queens Village, NY 11428-2015
Phone
(718) 468-6923
Fax
(718) 468-6925
NPI assigned
Feb 13, 2007
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Kettly DerivalNPI 1497903306
Title
Clinical Director
Phone
(516) 204-5518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C693L001 NY Primary

Addresses

Primary practice location

22121 Jamaica Ave
2ND FL
Queens Village, NY 11428-2015

Mailing address

22121 Jamaica Ave
2ND FL
Queens Village, NY 11428-2015
Phone (718) 468-6923

Other identifiers 1

IdentifierTypeStateIssuer
02054231MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Home Care at Its Best2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22121 Jamaica Ave
#2
Queens Village, NY 11428

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1871635987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22121 JAMAICA AVE",
            "address_2": "2ND FL",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282015",
            "telephone_number": "718-468-6923",
            "fax_number": "718-468-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22121 JAMAICA AVE",
            "address_2": "2ND FL",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282015",
            "telephone_number": "718-468-6923",
            "fax_number": "718-468-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE AT ITS BEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "DERIVAL",
        "authorized_official_first_name": "KETTLY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "516-204-5518"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "C693L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02054231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.