Organization Active NPI

Bryan Skilled Home Care Inc

  • Home Health Agency
  • Amityville, NY
National Provider Identifier
1881994762
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1817L001 Issued in NY
Legal business name
BRYAN SKILLED HOME CARE INC
Practice address
365 Broadway
Ste 4
Amityville, NY 11701
Phone
(631) 608-8523
Fax
(631) 608-2859
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Cathy Madden, RN
Title
Adm
Phone
(631) 608-8523

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1817L NY
Home Health Agency 251E00000X 1817L001 NY Primary
Home Infusion Agency 251F00000X 1817L NY
Home Infusion Agency 251F00000X 1817L001 NY
Nursing Care Agency 251J00000X 1817L NY
Nursing Care Agency 251J00000X 1817L001 NY
In Home Supportive Care Agency 253Z00000X 1817L NY

Addresses

Primary practice location

365 Broadway
Ste 4
Amityville, NY 11701

Mailing address

365 Broadway
Ste 4
Amityville, NY 11701
Phone (631) 608-8523

Other identifiers 1

IdentifierTypeStateIssuer
03314129MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881994762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "address_2": "STE 4",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-608-8523",
            "fax_number": "631-608-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "address_2": "STE 4",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-608-8523",
            "fax_number": "631-608-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN SKILLED HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "631-608-8523",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1817L",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1817L001",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "1817L",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "1817L001",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "1817L",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "1817L001",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "1817L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03314129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.