Organization Active NPI

FMNH LLC

  • Home Health Agency
  • Flushing, NY
National Provider Identifier
1922169010
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7003909L Issued in NY
Legal business name
FMNH LLC
Practice address
3515 Parsons Blvd
Flushing, NY 11354-4236
Phone
(718) 961-4300
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Ms. Lisa Riccoboni
Title
Director
Phone
(718) 461-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7003909L NY Primary

Addresses

Primary practice location

3515 Parsons Blvd
Flushing, NY 11354-4236

Mailing address

3515 Parsons Blvd
Flushing, NY 11354-4236
Phone (718) 961-4300

Other identifiers 1

IdentifierTypeStateIssuer
02512792MedicaidNY

Other names 1

  • Flushing Manor Nursing & Rehabilitation LTHHC Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Flushing Manor Nursing and Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1922169010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544236",
            "telephone_number": "718-961-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544236",
            "telephone_number": "718-961-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMNH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "RICCOBONI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-461-9117",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7003909L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flushing Manor Nursing & Rehabilitation LTHHC Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.