Abr Homecare of Ny Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2260L001 Issued in NY

Legal business name

ABR HOMECARE OF NY INC.

Doing business as

SI Homecare Agency

Practice address

74365 Main Rd
Greenport, NY 11944-2622

Phone

(631) 333-2077

Fax

(631) 333-2078

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. J Jennie P Smith, MA-HCPM

Title

Administrator

Phone

(631) 749-5113

Specialties & licenses 1

Addresses

Other names 1

• SI Homecare Agency Doing business as

Locations

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1174077416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641848",
            "telephone_number": "631-749-5804",
            "fax_number": "631-749-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74365 MAIN RD",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119442622",
            "telephone_number": "631-333-2077",
            "fax_number": "631-333-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABR HOMECARE OF NY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "J JENNIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-749-5113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA-HCPM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "2260L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SI Homecare Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Abramowicz, LCSW
• Skylar Ackerman, DO
• Ruchy Aggarwal
• Patricia E. Alcus, NP
• Miguel A. S. Alvarez, MD

• In Home Supportive Care Agency in Greenport, NY
• Providers in Greenport, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.