TRI- BOROUGH CERTIFIED HEALTH SYSTEMS OF NEW YORK. LLC (NPI# 1114266962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114266962 |
| Entity Type | Organization |
| Organization Name | TRI- BOROUGH CERTIFIED HEALTH SYSTEMS OF NEW YORK. LLC |
| Practice Address |
120 Bethpage Rd Hicksville NY 11801-1515 |
| Mailing Address |
120 Bethpage Rd Ste 100 Hicksville NY 11801-1515 |
| Practice Telephone | 5169327799 |
| Practice Fax Number | 5169321415 |
| Mailing Telephone | 5169327799 |
| Mailing Fax Number | 5169321415 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | KENRICK CORT (CEO/PRESIDENT) |
| Authorized Official Telephone | 7182827619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01053983 | 05 | |
| NY | 01659690 | 05 |
| Street Address |
120 BETHPAGE RD |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453571 | Harshit M Patel | Allergy & Immunology | 120 Bethpage Rd, Suite 310, Hicksville, NY 11801-1515 | 2005-08-10 |
| 1245728658 | Moms Ob-gyn PC | Obstetrics & Gynecology | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2018-05-01 |
| 1265976120 | Katherine Alexis Athanasiou | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2016-12-12 |
| 1982010286 | Stephanie K. Becker M.d. PC | Specialist | 120 Bethpage Rd, Suite 102, Hicksville, NY 11801-1515 | 2014-07-08 |
| 1538573043 | Michelle Lee Regan | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2014-06-12 |
| 1801167945 | Rona Marc | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2012-01-20 |
| 1528342425 | Sun Endoscopy Pllc | Clinic/Center | 120 Bethpage Rd, Suite 204b, Hicksville, NY 11801-1515 | 2011-10-11 |
| 1962781716 | Ambka Sabiki | Physician Assistant | 120 Bethpage Rd, Suite 310, Hicksville, NY 11801-1515 | 2011-08-11 |
| 1639461437 | Florante Melchor Md Facp Pllc | Internal Medicine | 120 Bethpage Rd, Suite 305, Hicksville, NY 11801-1515 | 2011-05-11 |
| 1285938589 | Rehab Specialists Pt,p.c | Clinic/Center | 120 Bethpage Rd, Suite 305, Hicksville, NY 11801-1515 | 2010-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349134 | Sequoia Home Care Inc. | Home Health | 115 Newbridge Rd, Hicksville, NY 11801-3908 | 2020-06-05 |
| 1457811713 | Community Memorial Hospital Home Health | Home Health | 120 E High St, Hicksville, OH 43526-1107 | 2019-03-22 |
| 1417495755 | Cornerstone Home Care Services Inc. | Home Health | 93 N Fordham Rd, Hicksville, NY 11801-6064 | 2017-02-07 |
| 1164830436 | Manjeet Kaur | Home Health | 52 Princess St, Hicksville, NY 11801-1110 | 2014-07-30 |
| 1568885101 | Dave C. Dineros, Physical Therapist,p.c. | Home Health | 7 Ronald Ave, Hicksville, NY 11801-2105 | 2014-02-03 |
| 1013347418 | Right At Home | Home Health | 14 Holman Blvd, Hicksville, NY 11801-2829 | 2013-11-21 |
| 1912346644 | Gfm Rehab Physical Therapy P.C. | Home Health | 56 Wyckoff St, Hicksville, NY 11801-2836 | 2013-06-15 |
| 1184759862 | Home Care Therapies | Home Health | 20 Jerusalem Ave, Hicksville, NY 11801-4980 | 2007-02-22 |
| 1467587360 | Tender Loving Care Health Care Services of Long Island, L.L.C. | Home Health | 99 Railroad Station Plaza, Suite 100, Hicksville, NY 11801-2898 | 2007-02-22 |
| 1003961426 | Cottage Homecare, Services, Inc | Home Health | 25 Newbridge Rd Ste 302, Hicksville, NY 11801-2887 | 2007-01-24 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
Please comment or provide details below to improve the information on TRI- BOROUGH CERTIFIED HEALTH SYSTEMS OF NEW YORK. LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.