SUSQUEHANNA HOME HEALTH CARE AGENCY (NPI# 1962786780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962786780 |
| Entity Type | Organization |
| Organization Name | SUSQUEHANNA HOME HEALTH CARE AGENCY |
| Practice Address |
270 Riverside Dr Johnson City NY 13790-2739 |
| Mailing Address |
282 Riverside Dr Johnson City NY 13790-2727 |
| Practice Telephone | 6077299206 |
| Mailing Telephone | 6077299206 |
| Mailing Fax Number | 6077973229 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | BERNADETTE A BRINSKO (CONTROLL) |
| Authorized Official Telephone | 6077299206 |
| Is Organization Subpart | Y |
| Parent Organization Name | 282 RIVERSIDE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1305L001 | NY | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SUSQUEHANNA HOME HEALTH CARE AGENCY, LLC | 282 Riverside Drive, Johnson City, Ny 13790 |
| Street Address |
270 RIVERSIDE DR |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| 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 |
|---|---|---|---|---|
| 1093977118 | Beth Parks Physical Therapy Services, PC | Home Health | 257 Pollard Hill Rd, Johnson City, NY 13790-4206 | 2008-06-30 |
| 1417030404 | Mountain States Health Alliance | Home Health | 509 Med Tech Pkwy Ste 200, Johnson City, TN 37604 | 2006-10-23 |
| 1548376718 | Mountain States Health Alliance | Home Health | 509 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2578 | 2006-08-21 |
| 1649295437 | Nhc-op, L.p. | Home Health | 1617 W Market St Ste A, Johnson City, TN 37604-4903 | 2006-07-13 |
| 1942258769 | Amedisys Tennessee, LLC | Home Health | 2913 Boones Creek Rd, Suite 6, Johnson City, TN 37615-4997 | 2006-05-04 |
| 1225008675 | Ashland Development Incorporated | Home Health | 2315 Silverdale Dr, Johnson City, TN 37601-2162 | 2006-01-26 |
| 1760489405 | Twin Tier Home Health, Inc. | Home Health | 601 Riverside Drive, Johnson City, NY 13790 | 2005-07-07 |
| 1740676147 | Maxim Healthcare Services, Inc. | Home Health | 208 Sunset Dr, Suite 503, Johnson City, TN 37604-2517 | 2015-04-13 |
| 1366837569 | Professional Home Care | Home Health | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2015-04-03 |
| 1841695244 | Help At Home, Inc | Home Health | 2 Worth Cir, Suite 1, Johnson City, TN 37601-4304 | 2014-10-28 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on SUSQUEHANNA HOME HEALTH CARE AGENCY.
| 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.