MEDICARE: GOOD SHEPHERD HOSPICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	251G00000X	NY
2	251G00000X	Community Based Hospice Care Agency	5151501F	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548264088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD SHEPHERD HOSPICE

Provider Business Mailing Address
First Line	:	110 BI-COUNTY BLVD.
Second Line	:	STE. 114
City	:	FARMINGDALE
State	:	NY
Zip	:	11735
Country	:	US
Telephone Number	:	631-828-7400
Fax Number	:	631-828-7494

Provider Business Practice Location Address
First Line	:	110 BI-COUNTY BLVD.
Second Line	:	STE. 114
City	:	FARMINGDALE
State	:	NY
Zip	:	11735
Country	:	US
Telephone Number	:	631-828-7400
Fax Number	:	631-828-7494

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CAROLYNN OCONNOR
Credential	:
Telephone Number	:	631-828-7400

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	09/28/2023

Similar Medicare Providers

1013840149 — MARISA SCHELHORN LICENSED CLINICAL SOCIAL WORKER PC
Practice Location Address:

6 CHERYL LN N
FARMINGDALE, NY
11735-4407

Practice Phone: 516-477-7838
Practice Fax:

1881362358 — MS. DEIDRE HOPE KOTSIOPOULOS
Practice Location Address:

500 BI COUNTY BLVD STE 450
FARMINGDALE, NY
11735-3995

Practice Phone: 631-987-9239
Practice Fax:

1851225379 — FARMINGDALE DENTAL GROUP PC
Practice Location Address:

260 MERRITTS RD
FARMINGDALE, NY
11735-3267

Practice Phone: 516-249-4206
Practice Fax: 516-249-8141

1215536727 — JESSICA MARIE BRIGANTE LCSW
Practice Location Address:

204 AIRPORT PLAZA BLVD # 1116
FARMINGDALE, NY
11735-3946

Practice Phone: 516-200-1633
Practice Fax:

1457358509 — MR. JOHN G FOX P.T.
Practice Location Address:

814 FULTON ST
FARMINGDALE, NY
11735-3601

Practice Phone: 516-420-1927
Practice Fax:

1700885670 — DR. WALTER F PRIESTLEY DC, DICCP
Practice Location Address:

81 CONKLIN ST
FARMINGDALE, NY
11735-2555

Practice Phone: 516-752-1007
Practice Fax: 516-752-2767

Directions to “GOOD SHEPHERD HOSPICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.