Organization Active NPI

At Home Community Care Management LLC

  • Case Management Agency
  • Bronx, NY
National Provider Identifier
1942766274
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AT HOME COMMUNITY CARE MANAGEMENT LLC
Practice address
264 Logan Ave # 1
Bronx, NY 10465-3334
Phone
(347) 755-4431
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Oscar Real, MSW
Title
Vice President
Phone
(347) 755-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

264 Logan Ave # 1
Bronx, NY 10465-3334

Mailing address

264 Logan Ave # 1
Bronx, NY 10465-3334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1942766274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 LOGAN AVE # 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 LOGAN AVE # 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653334",
            "telephone_number": "347-755-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME COMMUNITY CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "REAL",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "347-755-4431",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Feb 12, 2019; 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.