NPIMap

Organization Active NPI

Seniorbridge Family Companies (Ny), Inc

  • In Home Supportive Care Agency
  • Medford, NY
National Provider Identifier
1083996235
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SENIORBRIDGE FAMILY COMPANIES (NY), INC
Practice address
3239 Route 112
Building 8, Suite 3
Medford, NY 11763-1432
Phone
(631) 676-5925
NPI assigned
Sep 14, 2011
Organization subpart
Yes
Parent organization
HUMANA AT HOME, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Dorothy Burns
Title
Director, Clinical Quality
Phone
(321) 258-7709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3239 Route 112
Building 8, Suite 3
Medford, NY 11763-1432

Mailing address

845 3Rd Ave
7TH Floor
New York, NY 10022-6601
Phone (212) 994-6000

National Provider Directory

National Provider Directory
Tax ID family
Seniorbridge Family Companies Ny Inc7 organizations share this tax ID, including this one
Part of
Humana at Home Inc

Other organizations with this tax ID 6

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

Locations

3239 Route 112
Ste 3
Medford, NY 11763
Phone (631) 676-5925

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1083996235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 3RD AVE",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226601",
            "telephone_number": "212-994-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 ROUTE 112",
            "address_2": "BUILDING 8, SUITE 3",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631432",
            "telephone_number": "631-676-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORBRIDGE FAMILY COMPANIES (NY), INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMANA AT HOME, INC.",
        "enumeration_date": "2011-09-14",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL QUALITY",
        "authorized_official_telephone_number": "321-258-7709"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.