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6677 BROADWAY LLC
NPI 1063010767
Home Health in Rockaway Park, NY

Active since October 14, 2020
140 BEACH 119TH ST, ROCKAWAY PARK, NY 11694(718) 938-7183 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About 6677 Broadway Llc NPPES

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

6677 BROADWAY LLC (NPI 1063010767) is a healthcare organization registered as a home health in Rockaway Park, New York and active in the NPI registry since October 2020. The organization lists Angela Borukhova, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063010767
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business Name6677 BROADWAY LLC
Location Address140 BEACH 119TH STRockaway Park, NY 11694-1953
Mailing Address4718 18th Ave Ste 26Brooklyn, NY 11204-1260 · (718) 938-7183
Phone(718) 938-7183
Organization SubpartNo
Authorized OfficialAngela BorukhovaOffice Manager · (718) 938-7183
Enumeration DateOctober 14, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1063010767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
140 BEACH 119TH ST, Rockaway Park, NY 11694
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE ELLIOT PEARL HOUSE LLC
Assisted Living Facility
140 BEACH 119TH ST
ROCKAWAY PARK, NY 11694
Queens County (718) 945-5700

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 6677 Broadway LLC's NPI number?

The NPI number for 6677 Broadway LLC is 1063010767. It was assigned to this organization in the NPPES registry on October 14, 2020.

Where is 6677 Broadway LLC located?

6677 Broadway LLC is located at 140 Beach 119th St, Rockaway Park, NY 11694. The listed phone number is (718) 938-7183.

What is 6677 Broadway LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for 6677 Broadway LLC was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.