Active NPI
Berthony Riche
- Personal Care Attendant
- Baldwin, NY
National Provider Identifier
1871987693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 2322 Grand Ave
Baldwin, NY 11510-3169 - Phone
- (516) 433-1239
- Fax
- (516) 719-0762
- NPI assigned
- Mar 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Religious Nonmedical Practitioner | 374K00000X | |||
| Home Health Aide | 374U00000X | |||
| Home Health Aide | 374U00000X | 2704L001 | NY | |
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | |||
| Personal Care Attendant | 3747P1801X | NY | Primary |
Addresses
Primary practice location
2322 Grand Ave
Baldwin, NY 11510-3169
Mailing address
2322 Grand Ave
Baldwin, NY 11510-3169
Phone (516) 719-0761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2704L001 | NY | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Sure LLC | Home Health | Current | Accepting new patients |
| Rehoboth Elderly Care and Companionship LLC | Home Health | Current | Accepting new patients |
Locations
2322 Grand Ave
Baldwin, NY 11510
Phone (516) 433-1239
2545 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 508-2587
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Baldwin, NY
- NPI 1073907952
-
- Home Health Agency
- East Brunswick, NJ
- NPI 1669240024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703462400000",
"number": "1871987693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103169",
"telephone_number": "516-719-0761",
"fax_number": "516-719-0762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103169",
"telephone_number": "516-433-1239",
"fax_number": "516-719-0762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHE",
"first_name": "BERTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-19",
"last_updated": "2023-12-25",
"certification_date": "2023-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NY",
"license": "2704L001",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.