Organization Active NPI

Sophie's Health Care Services, Inc

  • Home Health Agency
  • Suffern, NY
National Provider Identifier
1124217294
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9689L002 Issued in NY
Legal business name
SOPHIE'S HEALTH CARE SERVICES, INC
Practice address
78 Lafayette Ave
Suffern, NY 10901-5550
Phone
(845) 369-6231
Fax
(845) 369-6232
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Bernadette Richards
Title
Owner
Phone
(845) 369-6231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9689L002 NY Primary

Addresses

Primary practice location

78 Lafayette Ave
Suffern, NY 10901-5550

Mailing address

78 Lafayette Ave
P O Box 298
Suffern, NY 10901-5550
Phone (845) 369-6231

Other identifiers 2

IdentifierTypeStateIssuer
02054373MedicaidNY
02357308MedicaidNY

National Provider Directory

National Provider Directory

Locations

78 Lafayette Ave
Suffern, NY 10901
Phone (845) 369-6231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1124217294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 LAFAYETTE AVE",
            "address_2": "P O BOX 298",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015550",
            "telephone_number": "845-369-6231",
            "fax_number": "845-369-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015550",
            "telephone_number": "845-369-6231",
            "fax_number": "845-369-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIE'S HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-369-6231"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9689L002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02054373",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.