Nursing Service Provider

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

312239-1 Issued in NY

Legal business name

NURSING SERVICE PROVIDER

Doing business as

nursing service provider

Practice address

916 Spur Dr S
Bay Shore, NY 11706-4709

Phone

(631) 647-3048

NPI assigned

Dec 12, 2014

Last updated

Dec 12, 2014By 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

Mr. Emmanuel PhilogeneNPI 1447590435

Title

LPN

Phone

(631) 647-3048

Specialties & licenses 1

Addresses

Other names 1

• nursing service provider Doing business as

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.

• Emmanuel Philogene

  • Licensed Practical Nurse
  • Bay Shore, NY
  • NPI 1447590435
  Authorized official Same address or phone

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1215335823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SPUR DR S",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064709",
            "telephone_number": "631-647-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SPUR DR S",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064709",
            "telephone_number": "631-647-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING SERVICE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "PHILOGENE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "631-647-3048",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "312239-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nursing service provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nslij Southside Hospital
• Nslij Western Suffolk Gastroenterology
• Georgianna Nugent
• Freddy Nunez, PA-C
• Sofia L Nunnelee, MD
• Nutrition Concepts
• Donald O'Brien, PT
• Erin Elizabeth O'Brien, PA-C
• Jane Elizabeth O'Brien, MS
• Timothy Dennis O'Donnell, PA

• Adult Care Home Facility in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.