Organization Active NPI

Egan-Henry Service Corp

  • Registered Nurse
  • New York, NY
National Provider Identifier
1396992343
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2365371 Issued in NY
Legal business name
EGAN-HENRY SERVICE CORP
Practice address
8 South Smith Rd
Lagrangeville
New York, NY 12540
Phone
(845) 592-1342
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Mrs. Kathleen Henry, R.N.
Title
Registered Nurse
Phone
(845) 592-1342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 2365371 NY Primary

Addresses

Primary practice location

8 South Smith Rd
Lagrangeville
New York, NY 12540

Mailing address

8 South Smith Rd
Lagrangeville
New York, NY 12540
Phone (845) 592-1342

Other identifiers 1

IdentifierTypeStateIssuer
01348865MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1396992343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTH SMITH RD",
            "address_2": "LAGRANGEVILLE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "12540",
            "telephone_number": "845-592-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SOUTH SMITH RD",
            "address_2": "LAGRANGEVILLE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "12540",
            "telephone_number": "845-592-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGAN-HENRY SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "845-592-1342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "2365371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01348865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.