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NURSING SERVICE PROVIDER NPI 1215335823


NPI Information

NPI: 1215335823
Provider Name: NURSING SERVICE PROVIDER

Doing Business As: NURSING SERVICE PROVIDER

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
916 SPUR DR S
BAY SHORE, NY
ZIP 11706
Phone: (631) 647-3048
Get Directions

NURSING SERVICE PROVIDER is an adult care home custodial care facility in Bay Shore, NY. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. NURSING SERVICE PROVIDER NPI is 1215335823. The provider is registered as an organization entity type.
The provider Is Doing Business As Nursing Service Provider.

The provider's business location address is:

916 SPUR DR S
BAY SHORE, NY
ZIP 11706-709
Phone: (631) 647-3048

The provider's authorized official is Emmanuel Philogene .
The authorized official title is Lpn and has the following contact phone number (631) 647-3048.

The enumeration date for this NPI number is 12/12/2014 and was last updated on 12/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home312239-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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