ISLAND HOME CARE AGENCY, INC (NPI# 1417263153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417263153 |
| Entity Type | Organization |
| Organization Name | ISLAND HOME CARE AGENCY, INC |
| Practice Address |
175 Commerce Dr Ste D Hauppauge NY 11788-3920 |
| Practice Telephone | 6312896223 |
| Practice Fax Number | 6312897473 |
| Mailing Telephone | 6312896223 |
| Mailing Fax Number | 6312897473 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | SUSAN FECHTMANN (VICE PRESIDENT/ADMINISTRATOR) |
| Authorized Official Telephone | 6312896223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 1578L001 | NY | Agencies |
| Y | 251J00000X | Nursing Care | 1578L001 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EBCBS | S065B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184922668 | Island Home Care Agency, Inc | Home Health | 817 Simonton St, Key West, FL 33040-7445 | 2011-03-07 |
| 1255393195 | Island Home Care Agency, Inc | Home Infusion | 193 Montauk Hwy, Speonk, NY 11972 | 2006-04-05 |
| Street Address |
175 COMMERCE DR STE D |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770730731 | Joseph Pierro | Pharmacist | 175 Commerce Dr Ste D, Hauppauge, NY 11788-3920 | 2008-08-21 |
| 1407004914 | Joy Detomaso | Registered Nurse | 175 Commerce Dr Ste D, Hauppauge, NY 11788-3920 | 2008-09-09 |
| 1477700946 | Marie Magnano | Registered Nurse | 175 Commerce Dr Ste D, Hauppauge, NY 11788-3920 | 2008-08-26 |
| 1801043377 | Susan Mcmanus | Licensed Practical Nurse | 175 Commerce Dr Ste D, Hauppauge, NY 11788-3920 | 2008-08-26 |
| 1316194301 | Dominique Carriero | Registered Nurse | 175 Commerce Dr Ste D, Hauppauge, NY 11788-3920 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181141 | Kristy Lee Rogonia | Nursing Care | 160 2nd St, Buchanan, NY 10511-1412 | 2020-10-16 |
| 1275130569 | Holistic Care Connections LLC | Nursing Care | 3632 Kingsbridge Ave Fl 2, Bronx, NY 10463-2339 | 2020-10-08 |
| 1699380022 | Remo Soriano Jr. | Nursing Care | 28 Trapper Ln, Levittown, NY 11756-5231 | 2020-09-11 |
| 1992310569 | Maria Clear | Nursing Care | 59 Brewster Dr, Carmel, NY 10512-6413 | 2020-09-10 |
| 1992314439 | Philip Boadu | Nursing Care | 140 Donizetti Pl Apt 18f, Bronx, NY 10475-2069 | 2020-07-30 |
| 1497371058 | Regina Arnold | Nursing Care | 590 Mill Rd Apt 1, Rhinebeck, NY 12572-2512 | 2020-06-19 |
| 1063035574 | Fidelity Home Care Inc | Nursing Care | 1829 E 13th St Ste 1b, Brooklyn, NY 11229-2887 | 2020-05-19 |
| 1629699632 | Bonus Salus | Nursing Care | 222 Blair Ave, Bronx, NY 10465-3756 | 2020-04-30 |
| 1003435835 | Cindy Mei | Nursing Care | 1736 Dahill Rd Fl 1, Brooklyn, NY 11223-1751 | 2020-04-12 |
| 1659903581 | Christine Charles, Aprn, Inc. | Nursing Care | 1428 Granada Pl, Far Rockaway, NY 11691-1708 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
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| 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.