Organization Active NPI

Providence Home Health Care Agency,Inc.

  • Home Health Agency
  • Massapequa, NY
National Provider Identifier
1154629087
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROVIDENCE HOME HEALTH CARE AGENCY,INC.
Practice address
24 Denise St
Massapequa, NY 11758-4319
Phone
(516) 797-5227
Fax
(516) 797-5227
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mrs. Marie Ange Aupont, RNNPI 1871016782
Title
Director of Nursing,Ceo
Phone
(516) 797-5227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

24 Denise St
Massapequa, NY 11758-4319

Mailing address

24 Denise St
Massapequa, NY 11758-4319
Phone (516) 797-5227

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1154629087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DENISE ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584319",
            "telephone_number": "516-797-5227",
            "fax_number": "516-797-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 DENISE ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584319",
            "telephone_number": "516-797-5227",
            "fax_number": "516-797-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME HEALTH CARE AGENCY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "AUPONT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANGE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING,CEO",
        "authorized_official_telephone_number": "516-797-5227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.