Active NPI
Careaide Direct, LLC
- Personal Care Attendant
- New York, NY
National Provider Identifier
1952869695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- CAREAIDE DIRECT, LLC
- Practice address
- 2368 Adam Clayton Powell Blvd Suite 1F
New York, NY 10030 - Phone
- (646) 684-3092
- Fax
- (646) 684-3119
- NPI assigned
- Mar 12, 2019
- Last updated
- Mar 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Frisher
- Title
- Administrator
- Phone
- (201) 214-7756
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | Primary |
Addresses
Primary practice location
2368 Adam Clayton Powell Blvd Suite 1F
New York, NY 10030
Mailing address
2368 Adam Clayton Powell Blvd Suite 1F
New York, NY 10030
Phone (646) 684-3092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04716932 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Careaide Direct LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- New York, NY
- NPI 1982139689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552348800000",
"number": "1952869695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2368 ADAM CLAYTON POWELL BLVD SUITE 1F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10030",
"telephone_number": "646-684-3092",
"fax_number": "646-684-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2368 ADAM CLAYTON POWELL BLVD SUITE 1F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10030",
"telephone_number": "646-684-3092",
"fax_number": "646-684-3119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREAIDE DIRECT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A",
"authorized_official_last_name": "FRISHER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-214-7756",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04716932",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.