South Shore Home Health Service, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0318L001 Issued in NY

Legal business name

SOUTH SHORE HOME HEALTH SERVICE, INC.

Practice address

3275 Veterans Hwy Ste 15
Ronkonkoma, NY 11779-7664

Phone

(631) 567-6555

Fax

(631) 567-7923

NPI assigned

Feb 14, 2012

Organization subpart

No

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

Authorized official

Name

Darby Anderson

Title

Evp Chief Strategy Officer

Phone

(630) 296-3443

Specialties & licenses 3

Addresses

Other identifiers 2

Tax ID family

Addus Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• South Shore Home Health Service, Inc.

  • Home Health Agency
  • Ronkonkoma, NY
  • NPI 1871651588
  NPD tax ID

Locations

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1821361429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WARRENVILLE RD STE 800",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320912",
            "telephone_number": "630-296-3400",
            "fax_number": "630-487-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 VETERANS HWY STE 15",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797664",
            "telephone_number": "631-567-6555",
            "fax_number": "631-567-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11608 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "NY",
            "postal_code": "114181748",
            "country_code": "US",
            "telephone_number": "718-847-8700",
            "fax_number": "718-847-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "393 Jericho Tpke Ste 206",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115011299",
            "country_code": "US",
            "telephone_number": "516-741-0400",
            "fax_number": "516-741-0942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 N Main St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109774999",
            "country_code": "US",
            "telephone_number": "845-356-6500",
            "fax_number": "845-356-6687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "466 Main St Ste 204",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108016489",
            "country_code": "US",
            "telephone_number": "914-654-6540",
            "fax_number": "516-929-9072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH SHORE HOME HEALTH SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DARBY",
        "authorized_official_title_or_position": "EVP CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "630-296-3443"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "0318L001",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0318L001",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01085496",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01052359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Smith, LMHC
• Michael William Smith, D.C
• Karolina Socha, LMT
• Christina Soler
• Gant Gilbert Soohoo, OPTICAN
• South Shore Home Health Service, Inc.
• Samantha Spata, SCHOOL PSYCHOLOGIST
• Christy Spelman, P.T.
• Kathleen J. Spencer, RN
• Jeanne R Squires, LCSW,BCD

• Home Health Agency in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.