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ST MARY'S COMMUNITY CARE PROFESSIONAL, CORP.
NPI 1063635142
Home Health in Elmhurst, NY

Active since April 10, 2007
9131 QUEENS BLVD, SUITE 201, ELMHURST, NY 11373(718) 819-2713 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Mary's Community Care Professional, Corp. NPPES

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

ST MARY'S COMMUNITY CARE PROFESSIONAL, CORP. (NPI 1063635142) is a healthcare organization registered as a home health in Elmhurst, New York and active in the NPI registry since April 2007. The organization lists Frederique Altidor, Manager, as its authorized official.

NPPES Registry Identity

NPI1063635142
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameST MARY'S COMMUNITY CARE PROFESSIONAL, CORP.
Location Address9131 QUEENS BLVD, SUITE 201Elmhurst, NY 11373-5555
Mailing Address9131 Queens Blvd, Suite 201Elmhurst, NY 11373-5555 · (718) 819-2713
Phone(718) 819-2713
Organization SubpartNo
Authorized OfficialFrederique AltidorManager · (718) 281-8688
Enumeration DateApril 10, 2007
Last NPPES UpdateApril 12, 2013
✔ NPI 1063635142 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.
9131 QUEENS BLVD, Elmhurst, NY 11373
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Other Identifiers 1

Medicaid01783504NY

Other Providers at the Same Location NPPES 20

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

DIANA AROCHO RUIZ
Licensed Practical Nurse
9131 QUEENS BLVD, SUITE 201
ELMHURST, NY 11373
Queens County (718) 281-8799
TANYA QUINN
Licensed Practical Nurse
9131 QUEENS BLVD, SUITE 201
ELMHURST, NY 11373
Queens County (718) 281-8799
ASHER COCKBURN LMSW
Social Worker
9131 QUEENS BLVD
ELMHURST, NY 11373
Queens County (718) 896-3400
TANYA GRACE-EREKA AVERY LMSW
Social Worker
9131 QUEENS BLVD
ELMHURST, NY 11373
Queens County (718) 896-3400
MARIA LUCIA JIMENEZ, MA,PT,PC
Physical Therapist
9131 QUEENS BLVD, SUITE 314
ELMHURST, NY 11373
Queens County (718) 205-3435
RUTHGINA DESINOR
Licensed Practical Nurse
9131 QUEENS BLVD
ELMHURST, NY 11373
Queens County (718) 281-8688
AVRAHAM C SCHWEIGER
Psychologist
9131 QUEENS BLVD, #314
ELMHURST, NY 11373
Queens County (718) 454-2222
LAURIE LIEBERMAN LMSW
Social Worker
9131 QUEENS BLVD
ELMHURST, NY 11373
Queens County (718) 896-3400

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 St Mary's Community Care Professional, Corp.'s NPI number?

The NPI number for St Mary's Community Care Professional, Corp. is 1063635142. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is St Mary's Community Care Professional, Corp. located?

St Mary's Community Care Professional, Corp. is located at 9131 Queens Blvd Suite 201, Elmhurst, NY 11373. The listed phone number is (718) 819-2713.

What is St Mary's Community Care Professional, Corp.'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 St Mary's Community Care Professional, Corp. was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.