Active NPI
Samantha Barth
- Case Manager/Care Coordinator
- Lake Grove, NY
National Provider Identifier
1255915864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5 Williams Blvd Apt 2E
Lake Grove, NY 11755-2485 - Phone
- (631) 310-6091
- Fax
- (631) 629-5021
- NPI assigned
- May 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
5 Williams Blvd Apt 2E
Lake Grove, NY 11755-2485
Mailing address
34 E Main St Ste 430
Smithtown, NY 11787-2804
Phone (631) 310-6091
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | angelcarecompanion@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Care Companion Services, Inc. | Current | Accepting new patients |
Locations
34 E Main St
Smithtown, NY 11787
Phone (631) 621-6545
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Central Islip, NY
- NPI 1801472782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1255915864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 E MAIN ST STE 430",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872804",
"telephone_number": "631-310-6091",
"fax_number": "631-629-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 WILLIAMS BLVD APT 2E",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552485",
"telephone_number": "631-310-6091",
"fax_number": "631-629-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "angelcarecompanion@gmail.com",
"affiliation": "N",
"endpointDescription": "Home Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Home Office",
"address_1": "5 Williams Blvd Apt 2E",
"city": "Lake Grove",
"state": "NY",
"country_code": "US",
"postal_code": "117552485",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.