Organization Active NPI

Cottage Homecare, Services, Inc

  • Home Health Agency
  • Hicksville, NY
National Provider Identifier
1003961426
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9239L001 Issued in NY
Legal business name
COTTAGE HOMECARE, SERVICES, INC
Practice address
25 Newbridge Rd Ste 302
Hicksville, NY 11801-2887
Phone
(516) 367-2266
Fax
(516) 367-1067
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth Villani, RPH
Title
President
Phone
(516) 367-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9239L001 NY Primary

Addresses

Primary practice location

25 Newbridge Rd Ste 302
Hicksville, NY 11801-2887

Mailing address

25 Newbridge Rd Ste 302
Hicksville, NY 11801-2887
Phone (516) 367-2266

Other identifiers 3

IdentifierTypeStateIssuer
01352221MedicaidNY
01361531MedicaidNY
01357744MedicaidNY

National Provider Directory

National Provider Directory

Locations

25 Newbridge Rd
Ste 302
Hicksville, NY 11801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1003961426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEWBRIDGE RD STE 302",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012887",
            "telephone_number": "516-367-2266",
            "fax_number": "516-367-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEWBRIDGE RD STE 302",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012887",
            "telephone_number": "516-367-2266",
            "fax_number": "516-367-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE HOMECARE, SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "VILLANI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-367-2266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9239L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01352221",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01361531",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357744",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.