NPIMap

Organization Active NPI

Selfhelp Lhcsa Long Island

  • Home Health Agency
  • Hempstead, NY
National Provider Identifier
1063798635
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0308L001 Issued in NY
Legal business name
SELFHELP LHCSA LONG ISLAND
Practice address
50 Clinton St
Hempstead, NY 11550-4281
Phone
(516) 505-2571
NPI assigned
Oct 27, 2011
Organization subpart
Yes
Parent organization
SELFHELP COMMUNITY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Mr. Russell Lusak
Title
Vice President, Administration
Phone
(212) 971-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0308L001 NY Primary

Addresses

Primary practice location

50 Clinton St
Hempstead, NY 11550-4281

Mailing address

520 8TH Ave
New York, NY 10018-6507

Other identifiers 1

IdentifierTypeStateIssuer
00974438MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Selfhelp Community Services Inc4 organizations share this tax ID, including this one
Part of
Selfhelp Community Services Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1063798635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CLINTON ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504281",
            "telephone_number": "516-505-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFHELP LHCSA LONG ISLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELFHELP COMMUNITY SERVICES, INC.",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "LUSAK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "VICE PRESIDENT, ADMINISTRATION",
        "authorized_official_telephone_number": "212-971-7707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0308L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00974438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.