Healthcare Provider Details

I. General information

NPI: 1336421635
Provider Name (Legal Business Name): ACCESS HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 VETERANS MEMORIAL HWY
BOHEMIA NY
11716-1052
US

IV. Provider business mailing address

3100 VETERANS MEMORIAL HWY
BOHEMIA NY
11716-1052
US

V. Phone/Fax

Practice location:
  • Phone: 631-476-3600
  • Fax: 631-476-0253
Mailing address:
  • Phone: 631-476-3600
  • Fax: 631-476-0253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number0967L001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number0967L001
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0967L001
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0967L001
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerNYS DEPARTMENT OF HEALTH

VIII. Authorized Official

Name: DR. EDWARD ANDREW SCHER
Title or Position: PRESIDENT
Credential: DC
Phone: 631-476-3600