Organization Active NPI

Bayshore Home Healthcare, Inc .

  • Home Health Agency
  • Bay Shore, NY
National Provider Identifier
1780011536
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2473L001 Issued in NY
Legal business name
BAYSHORE HOME HEALTHCARE, INC .
Practice address
55 E Main St
Bay Shore, NY 11706-8366
Phone
(631) 647-9020
Fax
(631) 647-9021
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Dr. Patricia Harley, PH.D.
Title
Administrator
Phone
(631) 647-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2473L001 NY Primary

Addresses

Primary practice location

55 E Main St
Bay Shore, NY 11706-8366

Mailing address

55 E Main St
Bay Shore, NY 11706-8366
Phone (631) 647-9020

National Provider Directory

National Provider Directory
Tax ID family
Bayshore Home Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 E Main St
Bay Shore, NY 11706
Phone (631) 647-9020

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1780011536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068366",
            "telephone_number": "631-647-9020",
            "fax_number": "631-647-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068366",
            "telephone_number": "631-647-9020",
            "fax_number": "631-647-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE HOME HEALTHCARE, INC .",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "HARLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-647-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2473L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.