Organization Active NPI

Brookside Home Care Inc.

  • In Home Supportive Care Agency
  • Lynbrook, NY
National Provider Identifier
1700291366
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BROOKSIDE HOME CARE INC.
Practice address
375 Sunrise Hwy
Suite 10
Lynbrook, NY 11563-3042
Phone
(516) 593-5969
Fax
(516) 584-8418
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Mr. Robert Calarco, CSA
Title
President
Phone
(516) 593-5969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

375 Sunrise Hwy
Suite 10
Lynbrook, NY 11563-3042

Mailing address

375 Sunrise Hwy
Suite 10
Lynbrook, NY 11563-3042
Phone (516) 593-5969

National Provider Directory

National Provider Directory

Locations

375 Sunrise Hwy
Ste 10
Lynbrook, NY 11563
Phone (516) 593-5969

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1700291366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 SUNRISE HWY",
            "address_2": "SUITE 10",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633042",
            "telephone_number": "516-593-5969",
            "fax_number": "516-584-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SUNRISE HWY",
            "address_2": "SUITE 10",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633042",
            "telephone_number": "516-593-5969",
            "fax_number": "516-584-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "CALARCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-593-5969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.