Active NPI
Caring Shepherd HHC Agency, LLC
- In Home Supportive Care Agency
- Elmont, NY
National Provider Identifier
1770026130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04563306 | Other | NY | PROVIDER IDENTIFICATION |
National Provider Directory
National Provider DirectoryNPI 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.