West Brighton Home Care Services Agency , Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9980L001 Issued in NY

Legal business name

WEST BRIGHTON HOME CARE SERVICES AGENCY , INC.

Practice address

797 Brighton Ave
Staten Island, NY 10301-2736

Phone

(718) 720-9600

Fax

(718) 816-5356

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Avi Lustig

Title

Administrator

Phone

(718) 720-9600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1154710747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 BRIGHTON AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10301",
            "telephone_number": "718-720-9600",
            "fax_number": "718-816-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 BRIGHTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012736",
            "telephone_number": "718-720-9600",
            "fax_number": "718-816-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BRIGHTON HOME CARE SERVICES AGENCY , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-720-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9980L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH LICENSE - HOME CARE SERVICE AGENCY",
            "identifier": "9980L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Wendell, LCSW
• Samantha Ann Werlick
• Debra J Werner, MD
• Paul Wertenteil
• Caryn Wesley
• West Brighton Physicians, P.C.
• West Brighton Studio Inc
• Desiree West, NP
• Julia West
• Lara Maria West, P.A.

• Home Health Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.