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ISLAND HOME CARE AGENCY INC NPI 1417263153


NPI Information

NPI: 1417263153
Provider Name: ISLAND HOME CARE AGENCY, INC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
175 COMMERCE DR STE D
HAUPPAUGE, NY
ZIP 11788
Phone: (631) 289-6223
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ISLAND HOME CARE AGENCY, INC is a nursing care in Hauppauge, NY. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. ISLAND HOME CARE AGENCY, INC NPI is 1417263153. The provider is registered as an organization entity type.

The provider's business location address is:

175 COMMERCE DR STE D
HAUPPAUGE, NY
ZIP 11788-920
Phone: (631) 289-6223
Fax: (631) 289-7473

The provider's authorized official is Susan Fechtmann .
The authorized official title is Vice President/administrator and has the following contact phone number (631) 289-6223.

The enumeration date for this NPI number is 8/19/2010 and was last updated on 8/19/2010.


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
1251E00000XHome Health1578L001NEW YORKNo
2251J00000XNursing Care1578L001NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S065BOTHERNEW YORKEBCBS

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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