Organization Active NPI

Caring Shepherd HHC Agency, LLC

  • In Home Supportive Care Agency
  • Elmont, NY
National Provider Identifier
1770026130
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CARING SHEPHERD HHC AGENCY, LLC
Practice address
66 Norfolk Dr W
Elmont, NY 11003-4814
Phone
(866) 446-5858
Fax
(718) 233-3412
NPI assigned
Dec 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Michele Eliassaint
Title
President
Phone
(516) 430-0149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

66 Norfolk Dr W
Elmont, NY 11003-4814

Mailing address

66 Norfolk Dr W
Elmont, NY 11003-4814
Phone (866) 446-5858

Other identifiers 1

IdentifierTypeStateIssuer
04563306OtherNYPROVIDER IDENTIFICATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1770026130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 NORFOLK DR W",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034814",
            "telephone_number": "866-446-5858",
            "fax_number": "718-223-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 NORFOLK DR W",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034814",
            "telephone_number": "866-446-5858",
            "fax_number": "718-233-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING SHEPHERD HHC AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "ELIASSAINT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-430-0149"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION",
            "identifier": "04563306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.