Individual provider Active NPI

Berthony Riche

  • Personal Care Attendant
  • Baldwin, NY
National Provider Identifier
1871987693
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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

Updated by the provider on Dec 25, 2023

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2704L001NYMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Health Sure LLC Home Health Current Accepting new patients
Rehoboth Elderly Care and Companionship LLC Home Health CurrentSince Dec 31, 2023 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.

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.

Verify at the official NPI Registry.