OrganizationActive
6677 Broadway LLC
NPI 1063010767 · Home Health Agency · Rockaway Park, NY
6677 Broadway LLC is a Home Health Agency organization in Rockaway Park, NY (NPI 1063010767).
Provider details
- NPI number
- 1063010767
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Angela Borukhova, Office Manager(718) 938-7183
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
140 Beach 119th St
Rockaway Park, NY 11694-1953
Phone: (718) 938-7183
Street-level locationGet directions
Mailing address
4718 18th Ave Ste 26
Brooklyn, NY 11204-1260
Registry dates
- Enumerated
- 2020-10-14
- Last updated
- 2020-10-14
- Certified
- 2020-10-13
Frequently asked questions
- What is 6677 Broadway LLC's NPI number?
- 6677 Broadway LLC's National Provider Identifier (NPI) is 1063010767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 6677 Broadway LLC?
- 6677 Broadway LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is 6677 Broadway LLC located?
- 6677 Broadway LLC's practice location on file with NPPES is 140 Beach 119th St, Rockaway Park, NY 11694-1953.
- What is 6677 Broadway LLC's phone number?
- The practice phone number listed in the NPPES registry for 6677 Broadway LLC is (718) 938-7183.
- Who is the authorized official for 6677 Broadway LLC?
- The authorized official listed on 6677 Broadway LLC's NPPES record is Angela Borukhova, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 6677 Broadway LLC's NPI active?
- Yes — 6677 Broadway LLC's NPI (1063010767) is active in the NPPES registry as of the last update on 2020-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.