Organization Active NPI

Alticare Healthcare Agency LLC

  • Nursing Care Agency
  • Bronx, NY
National Provider Identifier
1881353019
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on Dec 15, 2021

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)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.