Healthcare Provider Details

I. General information

NPI: 1932148707
Provider Name (Legal Business Name): HEIGHTS HOME HEALTH CARE & SURGICAL SUPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 BROADWAY
STATEN ISLAND NY
10310-2803
US

IV. Provider business mailing address

515 BROADWAY
STATEN ISLAND NY
10310-2803
US

V. Phone/Fax

Practice location:
  • Phone: 718-981-9000
  • Fax: 718-981-4191
Mailing address:
  • Phone: 718-981-9000
  • Fax: 718-981-4191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN GURRIERI
Title or Position: PRESIDENT
Credential:
Phone: 718-981-9000