Healthcare Provider Details

I. General information

NPI: 1841629698
Provider Name (Legal Business Name): CONSTELLATION HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6851 JERICHO TPKE STE 150A
SYOSSET NY
11791-4462
US

IV. Provider business mailing address

14 WESTPORT AVE
NORWALK CT
06851-3915
US

V. Phone/Fax

Practice location:
  • Phone: 631-246-4100
  • Fax: 631-352-0032
Mailing address:
  • Phone: 888-895-7695
  • Fax: 631-352-0032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YITZCHOK STEG
Title or Position: DIRECTOR
Credential:
Phone: 888-895-7695