Long Beach Medical Center Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LONG BEACH MEDICAL CENTER HOME CARE AGENCY

Practice address

455 East Bay Drive
Long Beach, NY 11561

Phone

(516) 897-1065

Fax

(516) 897-1064

NPI assigned

Jul 26, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry Stern

Title

Chief Financial Officer

Phone

(516) 897-1212

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760405062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 EAST BAY DRIVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "516-897-1065",
            "fax_number": "516-897-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EAST BAY DRIVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "516-897-1065",
            "fax_number": "516-897-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEDICAL CENTER HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "516-897-1212"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245487",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long Beach Medical Center
• Long Beach Medical Center
• Long Beach Medical Center (Long Beach Group Practice)
• Long Beach Medical Center (Family Care Center Physicans Group)
• Long Beach Medical Center - Counseling Mental Health
• Long Beach Medical Center Psych Unit
• Long Beach Medical Center Rehab Unit
• Long Beach Multi Medicine,PC
• Long Beach Pain Management & Critical Care Services, P.C.
• Long Beach Pharmacy LLC. (Harry's Pharmacy)

• Home Health Agency in Long Beach, NY
• Providers in Long Beach, 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 Jul 21, 2022; 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.