Organization Active NPI

Tri-County Home Care Services LLC

  • Oxygen Equipment & Supplies (DME)
  • East Syracuse, NY
National Provider Identifier
1922111988
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
N/A Issued in NU
Legal business name
TRI-COUNTY HOME CARE SERVICES LLC
Practice address
6295 E Molloy Rd
East Syracuse, NY 13057-1072
Phone
(315) 414-0130
Fax
(315) 414-0131
NPI assigned
Aug 16, 2006
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY CARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Ms. Jennifer A Kuczewski
Title
Director
Phone
(716) 568-2236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY
Oxygen Equipment & Supplies (DME) 332BX2000X N/A NU Primary

Addresses

Primary practice location

6295 E Molloy Rd
East Syracuse, NY 13057-1072

Mailing address

60 Northpointe Pkwy
Amherst, NY 14228-1883
Phone (716) 568-2236

Other identifiers 1

IdentifierTypeStateIssuer
01913840MedicaidNY

National Provider Directory

National Provider Directory

Locations

60 Northpointe Pkwy
Buffalo, NY 14228
Phone (716) 568-2236

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1922111988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NORTHPOINTE PKWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281883",
            "telephone_number": "716-568-2236",
            "fax_number": "716-568-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6295 E MOLLOY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571072",
            "telephone_number": "315-414-0130",
            "fax_number": "315-414-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY HOME CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE HOLDINGS, LLC",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "KUCZEWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-568-2236",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01913840",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.