Organization Active NPI

Personal Home Care Inc.

  • Home Health Agency
  • Huntington, NY
National Provider Identifier
1336340371
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1227L001 Issued in NY
Legal business name
PERSONAL HOME CARE INC.
Practice address
775 Park Ave Ste 155
Huntington, NY 11743-7516
Phone
(631) 549-9500
Fax
(631) 549-9508
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Colleen Lindblad, N
Title
DPS
Phone
(631) 549-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1227L001 NY Primary

Addresses

Primary practice location

775 Park Ave Ste 155
Huntington, NY 11743-7516

Mailing address

775 Park Ave Ste 155
Huntington, NY 11743-7516
Phone (631) 549-9500

Other names 1

  • A-lete Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336340371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 155",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437516",
            "telephone_number": "631-549-9500",
            "fax_number": "631-549-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 155",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437516",
            "telephone_number": "631-549-9500",
            "fax_number": "631-549-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDBLAD",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "DPS",
        "authorized_official_telephone_number": "631-549-9500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1227L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-lete Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.