Fidelity Senior Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FIDELITY SENIOR CARE LLC

Doing business as

Wisdom Senior Care

Practice address

1 Old Country Rd
Carle Place, NY 11514-1801

Phone

(516) 388-7277

Fax

(718) 702-2241

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Simone Galloway

Title

Owner

Phone

(516) 388-7277

Specialties & licenses 2

Addresses

Other names 1

• Wisdom Senior Care Doing business as

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1639883077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141801",
            "telephone_number": "516-388-7277",
            "fax_number": "718-702-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141801",
            "telephone_number": "516-388-7277",
            "fax_number": "718-702-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-388-7277"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisdom Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen M Driscoll, RD CDE
• Cristina Drumm, FNP, PMHNP
• Michael Alan Elrod, PHARMACIST
• Catherine M. Fascilla, DDS
• Francis L Faustino, MD
• Carmen J Finamore, MD
• Footluxe of Long Island Podiatry PC
• Robert Galli
• David Michael Gardner, DDS
• Jennifer Giliotti, MSED

• In Home Supportive Care Agency in Carle Place, NY
• Providers in Carle Place, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.