Active NPI
Alticare Healthcare Agency LLC
- Nursing Care Agency
- Bronx, NY
National Provider Identifier
1881353019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- ALTICARE HEALTHCARE AGENCY LLC
- Practice address
- 3403 Ropes Ave
Bronx, NY 10475-1016 - Phone
- (917) 488-7910
- NPI assigned
- Dec 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Boateng-Wilson, RN,BA,FNP-BC,DNP
- Title
- Doctor
- Phone
- (917) 488-7910
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | |||
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
3403 Ropes Ave
Bronx, NY 10475-1016
Mailing address
3403 Ropes Ave
Bronx, NY 10475-1016
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1881353019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 ROPES AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104751016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 ROPES AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104751016",
"telephone_number": "917-488-7910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTICARE HEALTHCARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "BOATENG-WILSON",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "917-488-7910",
"authorized_official_credential": "RN,BA,FNP-BC,DNP"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.