Active NPI
Amber Court at Suffolk Lhcsa
- Home Health Agency
- Nesconset, NY
National Provider Identifier
1316535768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMBER COURT AT SUFFOLK LHCSA
- Practice address
- 130 Lake Ave S
Nesconset, NY 11767-1001 - Phone
- (631) 768-1000
- NPI assigned
- Dec 31, 2020
- Last updated
- Dec 31, 2020
- 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
- Raphael Weiss
- Title
- Cfo
- Phone
- (908) 352-9220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
130 Lake Ave S
Nesconset, NY 11767-1001
Mailing address
1155 E Jersey St
Elizabeth, NJ 07201-2310
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609372800000",
"number": "1316535768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 E JERSEY ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LAKE AVE S",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117671001",
"telephone_number": "631-768-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBER COURT AT SUFFOLK LHCSA",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-31",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "908-352-9220"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nesconset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.