Active NPI
G.E.M. Health Care Agency
- Home Health Agency
- Freeport, NY
National Provider Identifier
1285794164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 99169L001
- Legal business name
- G.E.M. HEALTH CARE AGENCY
- Practice address
- 147 W Merrick Rd
Suite 201
Freeport, NY 11520-3784 - Phone
- (516) 255-5400
- Fax
- (516) 536-2354
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Phyllis A. Wellington, RN,BSN,MSA
- Title
- President
- Phone
- (516) 255-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 99169L001 | NY | Primary |
Addresses
Primary practice location
147 W Merrick Rd
Suite 201
Freeport, NY 11520-3784
Mailing address
147 W Merrick Rd
Suite 201
Freeport, NY 11520-3784
Phone (516) 255-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01487778 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
147 W Merrick Rd
Ste 201
Freeport, NY 11520
Phone (516) 255-5400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469664000000",
"number": "1285794164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 W MERRICK RD",
"address_2": "SUITE 201",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203784",
"telephone_number": "516-255-5400",
"fax_number": "516-536-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 W MERRICK RD",
"address_2": "SUITE 201",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203784",
"telephone_number": "516-255-5400",
"fax_number": "516-536-2354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G.E.M. HEALTH CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2016-07-28",
"status": "A",
"authorized_official_last_name": "WELLINGTON",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-255-5400",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN,BSN,MSA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "99169L001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01487778",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.