Organization Active NPI

G.E.M. Health Care Agency

  • Home Health Agency
  • Freeport, NY
National Provider Identifier
1285794164
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
99169L001 Issued in NY
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

Updated by the provider on Jul 28, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01487778MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.