NPIMap

Organization Active NPI

Long Island Care at Home LTD

  • Nursing Care Agency
  • Westbury, NY
National Provider Identifier
1588795355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
9376L001 Issued in NY
Legal business name
LONG ISLAND CARE AT HOME LTD
Practice address
1400 Old Country Road
Suite 108
Westbury, NY 11590-5119
Phone
(516) 794-0700
Fax
(516) 794-0787
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maryann C Osborne
Title
V Pres
Phone
(516) 794-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 9376L001 NY Primary

Addresses

Primary practice location

1400 Old Country Road
Suite 108
Westbury, NY 11590-5119

Mailing address

1400 Old Country Road
Suite 108
Westbury, NY 11590-5119
Phone (516) 794-0700

Other identifiers 1

IdentifierTypeStateIssuer
01422393MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Long Island Care at Home LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 Old Country Rd
Ste 108
Westbury, NY 11590
Phone (516) 794-0700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588795355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY ROAD",
            "address_2": "SUITE 108",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905119",
            "telephone_number": "516-794-0700",
            "fax_number": "516-794-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY ROAD",
            "address_2": "SUITE 108",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905119",
            "telephone_number": "516-794-0700",
            "fax_number": "516-794-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CARE AT HOME LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "V PRES",
        "authorized_official_telephone_number": "516-794-0700"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "9376L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01422393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • 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.