=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861593188
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HAMPTON HOME CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/26/2006
-----------------------------------------------------
Last Update Date | 02/01/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 609 HAMPTON RD STE 2
-----------------------------------------------------
City | SOUTHAMPTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11968-3096
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-283-8217
-----------------------------------------------------
Fax | 631-283-8286
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 609 HAMPTON RD STE 2
-----------------------------------------------------
City | SOUTHAMPTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11968-3096
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-283-8217
-----------------------------------------------------
Fax | 631-283-8286
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | MR. JOSEPH COTICCHIO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 631-283-8217
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------