Healthcare Provider Details

I. General information

NPI: 1780670711
Provider Name (Legal Business Name): NURSING SISTERS HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 BI COUNTY BLVD STE 114
FARMINGDALE NY
11735-3923
US

IV. Provider business mailing address

110 BI COUNTY BLVD STE 114
FARMINGDALE NY
11735-3923
US

V. Phone/Fax

Practice location:
  • Phone: 631-828-7400
  • Fax: 631-828-7475
Mailing address:
  • Phone: 631-828-7400
  • Fax: 631-828-7475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2914600
License Number StateNY

VIII. Authorized Official

Name: CAROLYNN OCONNOR
Title or Position: ANALYST
Credential:
Phone: 631-828-7400