Active NPI
Jaetris Homecare Solutions, Inc.
- Home Health Agency
- Glen Cove, NY
National Provider Identifier
1679020747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.