Organization Active NPI

CHS Home Support Services

  • Durable Medical Equipment & Medical Supplies
  • Hauppauge, NY
National Provider Identifier
1396744074
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02205392MedicaidNY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.