Organization Active NPI

Jaetris Homecare Solutions, Inc.

  • Home Health Agency
  • Glen Cove, NY
National Provider Identifier
1679020747
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JAETRIS HOMECARE SOLUTIONS, INC.
Practice address
50 Glen St
Suite 310
Glen Cove, NY 11542-4304
Phone
(516) 430-5505
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Mrs. Lovina Rivera, BA, HHA
Title
President
Phone
(516) 351-0846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

50 Glen St
Suite 310
Glen Cove, NY 11542-4304

Mailing address

50 Glen St
Suite 310
Glen Cove, NY 11542-4304
Phone (516) 430-5505

National Provider Directory

National Provider Directory

Locations

50 Glen St
Ste 310
Glen Cove, NY 11542
Phone (516) 430-5505

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1679020747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GLEN ST",
            "address_2": "SUITE 310",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115424304",
            "telephone_number": "516-430-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLEN ST",
            "address_2": "SUITE 310",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115424304",
            "telephone_number": "516-430-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAETRIS HOMECARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LOVINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-351-0846",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, HHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.