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: July 19, 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
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

Other Identifiers 1

Medicaid01783504NY

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
9131 QUEENS BLVD, SUITE 618
ELMHURST, NY 11373
Social Worker
9131 QUEENS BLVD, SUITE 618
ELMHURST, NY 11373
Physical Therapist
9131 QUEENS BLVD, 612
ELMHURST, NY 11373
Physical Therapist
9131 QUEENS BLVD, 314
ELMHURST, NY 11373
Social Worker (Clinical)
9131 QUEENS BLVD, SUITE 618
ELMHURST, NY 11373
Social Worker
9131 QUEENS BLVD, SUITE 618
ELMHURST, NY 11373
Registered Nurse (Home Health)
9131 QUEENS BLVD
ELMHURST, NY 11373
Chiropractor (Radiology)
9131 QUEENS BLVD, SUITE 304
ELMHURST, NY 11373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063635142, enumerated as an "organization" on April 10, 2007.

The provider is located at 9131 QUEENS BLVD SUITE 201 ELMHURST, NY 11373 and the phone number is (718) 819-2713.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.