PSC Community Support Services, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

1997L001 Issued in NY

Legal business name

PSC COMMUNITY SUPPORT SERVICES, INC.

Practice address

5102 21St St
Fourth Floor - 4-a
Long Island City, NY 11101-5357

Phone

(718) 349-1905

Fax

(718) 349-0908

NPI assigned

Jul 17, 2015

Organization subpart

Yes

Parent organization

PSC COMMUNITY SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Christopher H. Olechowski

Title

Chief Executive Officer

Phone

(718) 349-1905

Specialties & licenses 1

Addresses

Other names 1

• Blue Parasol Doing business as

Part of

PSC Community Services Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• PSC Community Services, Inc.

  • Home Health Agency
  • Long Island City, NY
  • NPI 1528137767
  NPPES parent name

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1871977009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 21ST ST",
            "address_2": "FOURTH FLOOR - 4-A",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015357",
            "telephone_number": "718-349-1905",
            "fax_number": "718-349-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 21ST ST",
            "address_2": "FOURTH FLOOR - 4-A",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015357",
            "telephone_number": "718-349-1905",
            "fax_number": "718-349-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSC COMMUNITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSC COMMUNITY SERVICES, INC",
        "enumeration_date": "2015-07-17",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "OLECHOWSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "718-349-1905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "1997L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Parasol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prohealth Dental PLLC
• Nataliya Pronchenko, RN
• Marie Ginette Prosper, BSN
• Oliwia Prusaczyk
• PSC Community Services, Inc.
• Tiffany Pu
• Dafina Pulatani, RN
• Careen A Purcell
• Kelsey Purcell
• Q.S.a Services Inc.

• Exclusive Provider Organization in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.