NPIMap

Organization Active NPI

Complex Care Solution

  • In Home Supportive Care Agency
  • Bronx, NY
National Provider Identifier
1982954251
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
015916 Issued in NY
Legal business name
COMPLEX CARE SOLUTION
Practice address
1561 Metropolitan Ave
Apt 6a
Bronx, NY 10462-6231
Phone
(347) 293-6365
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mrs. Patricia Condos
Title
Compliance Manager
Phone
(718) 732-2638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 015916 NY Primary

Addresses

Primary practice location

1561 Metropolitan Ave
Apt 6a
Bronx, NY 10462-6231

Mailing address

75 Broad St
815
New York, NY 10004-2415
Phone (931) 455-2279

National Provider Directory

National Provider Directory
Tax ID family
Complex Care Solution4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

75 Broad St
Rm 815
New York, NY 10004
Phone (347) 761-3168

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1982954251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BROAD ST",
            "address_2": "815",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042415",
            "telephone_number": "931-455-2279",
            "fax_number": "267-393-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 METROPOLITAN AVE",
            "address_2": "APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626231",
            "telephone_number": "347-293-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX CARE SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "CONDOS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "718-732-2638",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "015916",
            "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 Sep 14, 2012; 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.