Organization Active NPI

Amber Court at Suffolk Lhcsa

  • Home Health Agency
  • Nesconset, NY
National Provider Identifier
1316535768
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.