Organization Active NPI

Abc Home Care Agency Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brentwood, NY
National Provider Identifier
1992290118
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ABC HOME CARE AGENCY INC.
Practice address
12 Clarke St
Brentwood, NY 11717-2002
Phone
(631) 273-0762
Fax
(631) 273-0762
NPI assigned
Jun 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Akeesha Lockitt
Title
President
Phone
(631) 273-0762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

12 Clarke St
Brentwood, NY 11717-2002

Mailing address

12 Clarke St
Brentwood, NY 11717-2002
Phone (631) 273-0762

Other identifiers 1

IdentifierTypeStateIssuer
04674246MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Abc Home Care Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1992290118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CLARKE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172002",
            "telephone_number": "631-273-0762",
            "fax_number": "631-273-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CLARKE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172002",
            "telephone_number": "631-273-0762",
            "fax_number": "631-273-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "LOCKITT",
        "authorized_official_first_name": "AKEESHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-273-0762"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04674246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.