NPIMap

Organization Active NPI

County of Suffolk

  • Home Health Agency
  • Great River, NY
National Provider Identifier
1497859615
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5154902L Issued in NY
Legal business name
COUNTY OF SUFFOLK
Practice address
3500 Sunrise Hwy Ste 124
Great River, NY 11739-1001
Phone
(631) 854-0000
Fax
(631) 854-0108
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Dr. James L Tomarken, MSW,MPH,MBA,FRCPC,FA
Title
Commissioner
Phone
(631) 854-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5154902L NY Primary

Addresses

Primary practice location

3500 Sunrise Hwy Ste 124
Great River, NY 11739-1001

Mailing address

3500 Sunrise Hwy, Suite 124
P.O. Box 9006
Great River, NY 11739-9006
Phone (631) 854-0000

Other identifiers 1

IdentifierTypeStateIssuer
00909504MedicaidNY

Other names 1

  • Bureau of Public Health Nursing-LTHC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1497859615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SUNRISE HWY, SUITE 124",
            "address_2": "P.O. BOX 9006",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117399006",
            "telephone_number": "631-854-0000",
            "fax_number": "631-854-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SUNRISE HWY STE 124",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117391001",
            "telephone_number": "631-854-0000",
            "fax_number": "631-854-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SUFFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "TOMARKEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "631-854-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW,MPH,MBA,FRCPC,FA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "5154902L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00909504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bureau of Public Health Nursing-LTHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.