A&B Enterprise of Li
Organization Active NPI Home Health Agency · Wantagh, NY
NPI 1265582050 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1265582050
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 0022L001 (NY)
- Legal business name
- A&B ENTERPRISE OF LI
- Practice address
- 2079 Wantagh Ave
2
Wantagh, NY 11793-3924 - Phone
- (516) 938-5225
- Fax
- (516) 938-3202
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
Authorized official
- Name
- John Campbell
- Title
- President
- Phone
- (516) 826-6333
National Provider Directory
Locations
2079 Wantagh Ave
Ste 2
Wantagh, NY 11793
Phone (516) 938-5225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0022L001 | NY | Yes |
Addresses
Primary practice location
2079 Wantagh Ave
2
Wantagh, NY 11793-3924
Mailing address
2079 Wantagh Ave.
2
Wantagh, NY 11793
Phone (516) 938-5225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00485896 | Medicaid | NY |
Other names
- AT HomeSenior of LI
Other providers in Wantagh, NY
- Vivian Abbate
- Able Physical Therapy, P.C.
- Acubalance Wellness of Long Island LLC
- Advance Physical Therapy, P.C.
- Ashley Affrunti
All providers in Wantagh, NY · Home Health Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.