Healthcare Provider Details

I. General information

NPI: 1831053552
Provider Name (Legal Business Name): PEREGRINE HOMECARE STRATEGIES OF NY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 EAST GENESEE STREET SUITE 100
SKANEATELES NY
13152
US

IV. Provider business mailing address

1551 EAST GENESEE STREET SUITE 100
SKANEATELES NY
13152
US

V. Phone/Fax

Practice location:
  • Phone: 315-685-5170
  • Fax: 315-685-5186
Mailing address:
  • Phone: 315-685-5170
  • Fax: 315-685-5186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA A CLARE
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 315-685-5170