Supportive Independent Living Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPPORTIVE INDEPENDENT LIVING CORP

Doing business as

Comfort Keepers

Practice address

31 Main Road
Suite 9
Riverhead, NY 11901

Phone

(631) 369-6080

Fax

(631) 369-6085

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Helene Korbin, J.D., L.LM

Title

Owner

Phone

(631) 369-6080

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers Doing business as

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467664540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAIN ROAD",
            "address_2": "SUITE 9",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-369-6080",
            "fax_number": "631-369-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN ROAD",
            "address_2": "SUITE 9",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-369-6080",
            "fax_number": "631-369-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE INDEPENDENT LIVING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORBIN",
        "authorized_official_first_name": "HELENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-369-6080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "J.D., L.LM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda I Sukhu, DO
• George John Sullivan III
• Sun River Health Inc
• Michelina Sundberg, PA
• Supersmiles KDS Dental PC (Sunny Smiles 4 Kids)
• Deborah Lee Sutera, CNP
• SVC of Riverhead LLC
• Caryl Svendsen Deiches
• Kristin Sweezy, FNP
• Raazia Syedda, OD

• Home Health Agency in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Home Health Agency in New York

• 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.