Long Island Center for Independent Living, Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

LONG ISLAND CENTER FOR INDEPENDENT LIVING, INC.

Practice address

3601 Hempstead Tpke
Suite #500
Levittown, NY 11756-1375

Phone

(516) 796-0144

Fax

(516) 796-0529

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Francis Joseph Baselice, CPA

Title

Director of Fiscal Management

Phone

(516) 796-0144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972628717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE",
            "address_2": "SUITE #500",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561375",
            "telephone_number": "516-796-0144",
            "fax_number": "516-796-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE",
            "address_2": "SUITE #500",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561375",
            "telephone_number": "516-796-0144",
            "fax_number": "516-796-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CENTER FOR INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASELICE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL MANAGEMENT",
        "authorized_official_telephone_number": "516-796-0144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01794738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Levittown, NY
• Providers in Levittown, NY by specialty
• Personal Care Attendant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.