Island Home Care Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1578L001 Issued in NY

Legal business name

ISLAND HOME CARE AGENCY, INC

Practice address

193 Montauk Hwy
Speonk, NY 11972

Phone

(631) 289-6223

Fax

(631) 289-7473

NPI assigned

Apr 5, 2006

Last updated

Mar 19, 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

Joseph Pierro, RPHNPI 1770730731

Title

Owner/Pharmacist

Phone

(631) 289-6223

Specialties & licenses 6

Addresses

Other identifiers 3

Tax ID family

Island Home Care Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Island Home Care Agency, Inc

  • Nursing Care Agency
  • Hauppauge, NY
  • NPI 1417263153
  NPD tax ID
• Island Home Care Agency, Inc.

  • Home Infusion Agency
  • Hauppauge, NY
  • NPI 1609186436
  NPD tax ID

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.

• Joseph Pierro, RPH

  • Pharmacist
  • Hauppauge, NY
  • NPI 1770730731
  Authorized official Same address or phone

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1255393195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "119720244",
            "telephone_number": "631-289-6223",
            "fax_number": "631-289-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MONTAUK HWY",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "11972",
            "telephone_number": "631-289-6223",
            "fax_number": "631-289-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HOME CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "PIERRO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "631-289-6223",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9266L001",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1578L001",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "9266L001",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "1578L001",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "9266L001",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "1578L001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00884579",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "9266L001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1578L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Diane Brooks, PSYD, PC
• Jennifer Anne Fay, PSY.D.
• Alexis Gersten, D.D.S.
• Susan Hearn, P.T.
• Independent Group Home Living
• James C Pierce DC PC
• Meisa Keivani, DDS
• Erin M Lavine, DPT
• Alexandra Lore, L. AC.
• Candice Marie Lorento, MS, OTR/L

• Home Health Agency in Speonk, NY
• Providers in Speonk, 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 Mar 19, 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.