Away From Home Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

AWAY FROM HOME ADULT DAY CARE, LLC

Practice address

1660 Route 112
Suite G
Port Jefferson Station, NY 11776-8057

Phone

(631) 743-9200

Fax

(631) 743-9203

NPI assigned

May 21, 2013

Last updated

Aug 11, 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

Ms. Elisa Miriam Bellido

Title

President

Phone

(631) 743-9200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1316383086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 ROUTE 112",
            "address_2": "SUITE G",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768057",
            "telephone_number": "631-743-9200",
            "fax_number": "631-743-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 ROUTE 112",
            "address_2": "SUITE G",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768057",
            "telephone_number": "631-743-9200",
            "fax_number": "631-743-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAY FROM HOME ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "BELLIDO",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-743-9200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gia Aslanidis
• Deema Attar, D.D.S.
• Sobner Aubourg, MD, PA-C
• Jacqueline A Aurigema, RPAC
• Lydia A. Avallone-Balfour, MA/CCC-SLP
• Away From Home Senior Day Care
• Diane Jane Axelrod, D.D.S.
• Marissa T Ayasse, MD
• Aziz Chaudry
• Laura Babstock, LPN

• Adult Day Care Clinic/Center in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.