Adl@Home LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ADL@HOME LLC

Practice address

67 Diana Dr
Mastic Beach, NY 11951-6308

Phone

(934) 235-7554

NPI assigned

Dec 25, 2023

Last updated

Dec 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bettina J LeeNPI 1588371371

Title

Owner

Phone

(934) 235-7554

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bettina J Lee

  • Non-emergency Medical Transport (VAN)
  • Mastic Beach, NY
  • NPI 1588371371
  NPD Authorized official
• Kendra D Lewis

  • Homemaker
  • Mastic Beach, NY
  • NPI 1932801669
  NPD

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1962271528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 DIANA DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119516308",
            "telephone_number": "934-235-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 DIANA DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119516308",
            "telephone_number": "934-235-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADL@HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "934-235-7554"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achieve Beyond
• Activities of Daily Living Home Care
• Laricia Allston, CNA
• Mary A Alvar, RN
• Chinaedu S Asia, LPN
• Danielle M Asquino
• Angela A Banfield, LPN

• Nursing Care Agency in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Nursing Care Agency in New York

• 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.