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MISS MAXINE ROSEMARIE HARRIS
NPI 1023377611
Custodial Care Facility - Adult Care Home in Queens Village, NY

Active since May 16, 2012
220-08 109 AVENUE, QUEENS VILLAGE, NY 11429(917) 226-7249 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Maxine Rosemarie Harris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MAXINE ROSEMARIE HARRIS (NPI 1023377611) is an individual adult care home provider in Queens Village, New York, licensed in New York (460234-1) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1023377611
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMISS MAXINE ROSEMARIE HARRIS
Location Address220-08 109 AVENUEQueens Village, NY 11429
Mailing Address22008 109th AveQueens Village, NY 11429-2515 · (917) 226-7249
Phone(917) 226-7249
Sole ProprietorYes
Enumeration DateMay 16, 2012
✔ NPI 1023377611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NY · 460234-1
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
220-08 109 AVENUE, Queens Village, NY 11429
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Other Identifiers 1

OtherTF7175290NY · Npi

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxine Harris's NPI number?

The NPI number for Maxine Harris is 1023377611. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Where is Maxine Harris located?

Maxine Harris practices at 220-08 109 Avenue, Queens Village, NY 11429. The listed phone number is (917) 226-7249.

What is Maxine Harris's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Maxine Harris was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.