Theracare, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

THERACARE, INC.

Practice address

9777 Queens Blvd PH
Rego Park, NY 11374-3300

Phone

(718) 830-9274

Fax

(718) 830-9276

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

John Calderon

Title

President

Phone

(718) 830-9274

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1891105219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD PH",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743300",
            "telephone_number": "718-830-9274",
            "fax_number": "718-830-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD PH",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743300",
            "telephone_number": "718-830-9274",
            "fax_number": "718-830-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-830-9274"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica Sheryl Thomas, L.P.N.
• Sharleen G Thomas
• Eftihia Thomopoulos, DDS
• Devante Quareed Thompson, LMT

• Early Intervention Provider Agency in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.