Organization Active NPI

Homecare Concepts Inc

  • Oxygen Equipment & Supplies (DME)
  • Farmingdale, NY
National Provider Identifier
1780657908
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HOMECARE CONCEPTS INC
Practice address
1095 Broadhollow Rd
Suite a
Farmingdale, NY 11735-4815
Phone
(631) 752-0555
Fax
(631) 752-6062
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Mr. Thomas H Ryan
Title
Ceo
Phone
(631) 752-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1095 Broadhollow Rd
Suite a
Farmingdale, NY 11735-4815

Mailing address

1095 Broadhollow Rd
Suite a
Farmingdale, NY 11735-4815
Phone (631) 752-0555

Other identifiers 1

IdentifierTypeStateIssuer
01067110MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930037580 NY DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5698892289 Practice locations: Farmingdale, NY

National Provider Directory

National Provider Directory

Locations

1095 Route 110
Ste A
Farmingdale, NY 11735
Phone (631) 752-0555

1095 Route 110
Farmingdale, NY 11735

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1780657908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 BROADHOLLOW RD",
            "address_2": "SUITE A",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354815",
            "telephone_number": "631-752-0555",
            "fax_number": "631-752-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 BROADHOLLOW RD",
            "address_2": "SUITE A",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354815",
            "telephone_number": "631-752-0555",
            "fax_number": "631-752-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-752-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01067110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.