Active NPI
CHS Home Support Services
- Durable Medical Equipment & Medical Supplies
- Hauppauge, NY
National Provider Identifier
1396744074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CHS HOME SUPPORT SERVICES
- Practice address
- 15 Power Dr
Hauppauge, NY 11788-4229 - Phone
- (631) 940-3350
- Fax
- (631) 940-3405
- NPI assigned
- Jul 15, 2005
- Last updated
- Oct 5, 2007
- 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
- Ms. Garnet Gay Hughes, RN
- Title
- Dir of Security, Privacy, Complianc
- Phone
- (631) 940-3350
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 025107 | NY | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NY | Primary |
Addresses
Primary practice location
15 Power Dr
Hauppauge, NY 11788-4229
Mailing address
15 Power Dr
Hauppauge, NY 11788-4229
Phone (631) 940-3350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02205392 | Medicaid | NY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1396744074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 POWER DR",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884229",
"telephone_number": "631-940-3350",
"fax_number": "631-940-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 POWER DR",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884229",
"telephone_number": "631-940-3350",
"fax_number": "631-940-3405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHS HOME SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-15",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "GARNET",
"authorized_official_middle_name": "GAY",
"authorized_official_title_or_position": "DIR OF SECURITY, PRIVACY, COMPLIANC",
"authorized_official_telephone_number": "631-940-3350",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NY",
"license": "025107",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02205392",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.