Organization Active NPI

FHC Home Care Inc

  • Home Health Agency
  • Bay Shore, NY
National Provider Identifier
1114095684
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9562L001 Issued in NY
Legal business name
FHC HOME CARE INC
Practice address
25 4TH Ave
Bay Shore, NY 11706-7948
Phone
(631) 968-1300
Fax
(631) 968-1339
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Ms. Patricia Harley
Title
President
Phone
(631) 968-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9562L001 NY Primary

Addresses

Primary practice location

25 4TH Ave
Bay Shore, NY 11706-7948

Mailing address

25 4TH Ave
Bay Shore, NY 11706-7948
Phone (631) 968-1300

Other identifiers 1

IdentifierTypeStateIssuer
02056182MedicaidNY

Other names 1

  • Friends Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

25 4th Ave
Bay Shore, NY 11706
Phone (631) 968-1300

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1114095684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067948",
            "telephone_number": "631-968-1300",
            "fax_number": "631-968-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067948",
            "telephone_number": "631-968-1300",
            "fax_number": "631-968-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHC HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HARLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-968-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9562L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02056182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friends Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.