Provider Demographics
NPI:1265677496
Name:COMMUNITY NURSING AGENCY, INC.
Entity Type:Organization
Organization Name:COMMUNITY NURSING AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:YAVITRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-322-8121
Mailing Address - Street 1:121-04 LIBERTY AVENUE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419
Mailing Address - Country:US
Mailing Address - Phone:718-322-8121
Mailing Address - Fax:718-322-8029
Practice Address - Street 1:121-04 LIBERTY AVENUE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419
Practice Address - Country:US
Practice Address - Phone:718-322-8121
Practice Address - Fax:718-322-8029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1546L001251J00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care