Organization Active NPI

Reliance Home Senior Services

  • Alzheimer Center (Dementia Center)
  • Massapequa Park, NY
National Provider Identifier
1780118620
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
1186L001 Issued in NY
Legal business name
RELIANCE HOME SENIOR SERVICES
Practice address
1035 Park Blvd
Massapequa Park, NY 11762-2743
Phone
(516) 308-4840
Fax
(516) 809-9338
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Mrs. Dana Lyn Arnone
Title
Admin
Phone
(516) 308-4840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 1186L001 NY Primary

Addresses

Primary practice location

1035 Park Blvd
Massapequa Park, NY 11762-2743

Mailing address

1035 Park Blvd
Massapequa Park, NY 11762-2743
Phone (516) 308-4840

National Provider Directory

National Provider Directory

Locations

1035 Park Blvd
Massapequa Pk, NY 11762
Phone (516) 308-4840

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1780118620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-308-4840",
            "fax_number": "516-809-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-308-4840",
            "fax_number": "516-809-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE HOME SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "ARNONE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "516-308-4840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NY",
            "license": "1186L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

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