Organization Active NPI

Lutheran Center at Poughkeepsie, Inc

  • Home Health Agency
  • Hauppauge, NY
National Provider Identifier
1750454567
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5157905L Issued in NY
Legal business name
LUTHERAN CENTER AT POUGHKEEPSIE, INC
Practice address
390 Rabro Dr
Suite B
Hauppauge, NY 11788-4244
Phone
(631) 761-5444
Fax
(631) 761-5445
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Ms. Susan Cadoff, RN
Title
VP Home Care & Community Services
Phone
(914) 365-6365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5157905L NY Primary

Addresses

Primary practice location

390 Rabro Dr
Suite B
Hauppauge, NY 11788-4244

Mailing address

390 Rabro Dr
Suite B
Hauppauge, NY 11788-4244
Phone (631) 761-5444

Other identifiers 1

IdentifierTypeStateIssuer
00793788MedicaidNY

Other names 1

  • Lutheran Long Term Home Health Care Program Doing business as

National Provider Directory

National Provider Directory

Locations

390 Rabro Dr
Ste B
Hauppauge, NY 11788
Phone (631) 761-5444

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1750454567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RABRO DR",
            "address_2": "SUITE B",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884244",
            "telephone_number": "631-761-5444",
            "fax_number": "631-761-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 RABRO DR",
            "address_2": "SUITE B",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884244",
            "telephone_number": "631-761-5444",
            "fax_number": "631-761-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN CENTER AT POUGHKEEPSIE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "CADOFF",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VP HOME CARE & COMMUNITY SERVICES",
        "authorized_official_telephone_number": "914-365-6365",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "5157905L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00793788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Long Term Home Health Care Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.