Organization Active NPI

Regioncare Inc.

  • Home Health Agency
  • Garden City, NY
National Provider Identifier
1750354619
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0861L003 Issued in NY
Legal business name
REGIONCARE INC.
Doing business as
RegionCare Nursing Agency
Practice address
711 Stewart Ave Ste 145
Garden City, NY 11530-4757
Phone
(516) 266-5200
Fax
(516) 266-5299
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Mrs. Michele L Cusack
Title
Senior Vice President & Cfo
Phone
(516) 321-6058

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0861L003 NY Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

711 Stewart Ave Ste 145
Garden City, NY 11530-4757

Mailing address

200 Community Dr
Great Neck, NY 11021-5510
Phone (516) 414-3900

Other practice location 1

200 Community Dr
Great Neck, NY 11021-5510
Phone (516) 414-3900

Other practice location 2

8811 165th St Ste 900
Jamaica, NY 11432-4142
Phone (718) 776-9870

Other practice location 3

19 E Main St
Bay Shore, NY 11706-8330
Phone (631) 456-5155

Other practice location 4

972 Brush Hollow Rd Fl 5
Westbury, NY 11590-1740
Phone (516) 876-6065

Other identifiers 4

IdentifierTypeStateIssuer
01614520MedicaidNY
0861L003OtherNYLICENSE
0861LOtherNYLICENSE
0861L002OtherNYLICENSE

Other names 1

  • RegionCare Nursing Agency Doing business as

National Provider Directory

National Provider Directory

Locations

711 Stewart Ave
Ste 145
Garden City, NY 11530
Phone (516) 266-5200

175 Fulton Ave
Ste 200
Hempstead, NY 11550

972 Brush Hollow Rd
Fl 3
Westbury, NY 11590
Phone (516) 876-4100

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1750354619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215510",
            "telephone_number": "516-414-3900",
            "fax_number": "516-414-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 STEWART AVE STE 145",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304757",
            "telephone_number": "516-266-5200",
            "fax_number": "516-266-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215510",
            "country_code": "US",
            "telephone_number": "516-414-3900",
            "fax_number": "516-414-3946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8811 165th St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114324142",
            "country_code": "US",
            "telephone_number": "718-776-9870",
            "fax_number": "718-776-9835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068330",
            "country_code": "US",
            "telephone_number": "631-456-5155",
            "fax_number": "631-617-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "972 Brush Hollow Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115901740",
            "country_code": "US",
            "telephone_number": "516-876-6065",
            "fax_number": "516-876-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0861L003",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01614520",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0861L003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0861L",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0861L002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RegionCare Nursing Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.