Our Lady of Consolation Geriatric Care Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

5154901L Issued in NY

Legal business name

OUR LADY OF CONSOLATION GERIATRIC CARE CENTER

Practice address

111 Beach Dr
West Islip, NY 11795-4929

Phone

(631) 587-1600

Fax

(631) 587-3263

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John J Haight

Title

Director of Finance

Phone

(631) 465-6442

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1700848447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BEACH DR",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954929",
            "telephone_number": "631-587-1600",
            "fax_number": "631-587-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BEACH DR",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954929",
            "telephone_number": "631-587-1600",
            "fax_number": "631-587-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF CONSOLATION GERIATRIC CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "HAIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "631-465-6442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "5154901L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00830355",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE #",
            "identifier": "5154901L",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Christian Orobello, OTR/L
• Krystel Oshaughnessy
• Lada Osipova, D.O
• Kristine Ostrem
• Our Lady of Consolation Geriatric Care Center
• Brianna Pace
• Kristin Pagano, R.N.
• Pagoda Acupuncture Wellness PC
• Salvatore J Palumbo, MD
• Panda Medical PC

• Home Health Agency in West Islip, NY
• Providers in West Islip, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.