Organization Active NPI

Regioncare Inc.

  • Home Infusion Agency
  • Great Neck, NY
National Provider Identifier
1992777510
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
0861L001 Issued in NY
Legal business name
REGIONCARE INC.
Practice address
200 Community Dr
Great Neck, NY 11021
Phone
(516) 414-3900
Fax
(516) 414-3946
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Mrs. Michele Lee Cusack
Title
Senior Vice President and Cfo
Phone
(516) 321-6058

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 0861L001 NY Primary
Home Infusion Therapy Pharmacy 3336H0001X 021785 NY

Addresses

Primary practice location

200 Community Dr
Great Neck, NY 11021

Mailing address

200 Community Dr
Great Neck, NY 11021
Phone (516) 414-3900

Other identifiers 1

IdentifierTypeStateIssuer
01440913MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930052497 NY DME Supplier - Pharmacy 2961461611 Practice locations: Great Neck, NY
O20110502000729 NY Part B Supplier - Pharmacy 2961461611 Practice locations: Great Neck, NY
O20210212002222 NY Part B Supplier - Home Infusion Therapy Supplier 2961461611 Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

200 Community Dr
Great Neck, NY 11021
Phone (516) 414-3900

200 Community Dr
Ste 1
Great Neck, NY 11021
Phone (516) 414-3900

8811 165th St
Ste 900
Jamaica, NY 11432
Phone (718) 776-9870

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1992777510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-414-3900",
            "fax_number": "516-414-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-414-3900",
            "fax_number": "516-414-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "0861L001",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "021785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01440913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.