Family Pediatric Home Care

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

309696-1 Issued in NY

Legal business name

FAMILY PEDIATRIC HOME CARE

Practice address

50 Clinton Street
Suite 601
Hempstead, NY 11550-2314

Phone

(516) 993-0485

Fax

(516) 993-1923

NPI assigned

Aug 15, 2014

Last updated

Aug 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kadiatu Koroma, NURSINGNPI 1578969333

Title

LPN

Phone

(516) 850-0643

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kadiatu Koroma

  • Licensed Practical Nurse
  • Hempstead, NY
  • NPI 1578969333
  NPD (past) Authorized official

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1932508991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TERRACE AVE",
            "address_2": "APT 555",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-850-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CLINTON STREET",
            "address_2": "SUITE 601",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502314",
            "telephone_number": "516-993-0485",
            "fax_number": "516-993-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PEDIATRIC HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "KADIATU",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "516-850-0643",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSING"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "309696-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azmine Exime, LPN
• Paulette Evangelle Fairclough
• Pamela Falke
• Family and Children's Association - Hempstead
• Family Health & Medical Aesthetic Center Inc
• Family Residences & Essential Enterprises, Inc
• Maggie M Farag, RPH
• Foluke Grace Fashakin, NURSE PRACTITIONER
• Federation Employment and Guidance Service, Inc. (FEGS Health and Human Services System)
• Juliana Feeney

• Pediatric Skilled Nursing Facility in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.