WEST BRIGHTON HOME CARE SERVICES AGENCY , INC. (NPI# 1154710747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154710747 |
| Entity Type | Organization |
| Organization Name | WEST BRIGHTON HOME CARE SERVICES AGENCY , INC. |
| Practice Address |
797 Brighton Ave Staten Island NY 10301-2736 |
| Mailing Address |
797 Brighton Avenue Staten Island NY 10301 |
| Practice Telephone | 7187209600 |
| Practice Fax Number | 7188165356 |
| Mailing Telephone | 7187209600 |
| Mailing Fax Number | 7188165356 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | MR. AVI LUSTIG (ADMINISTRATOR) |
| Authorized Official Telephone | 7187209600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 9980L001 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEPARTMENT OF HEALTH LICENSE - HOME CARE SERVICE AGENCY | 9980L001 | 01 |
| Street Address |
797 BRIGHTON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578865523 | Frances Adele Melendez | Psychologist | 797 Brighton Ave, Staten Island, NY 10301-2736 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040210 | Daley Home Care, LLC | Home Health | 56 Van Pelt Ave Apt 2, Staten Island, NY 10303-2407 | 2020-03-31 |
| 1063046985 | Streamlight Corp. | Home Health | 66 Jacques Ave, Staten Island, NY 10306-3026 | 2020-02-29 |
| 1144863655 | Long Life Home Care, Inc | Home Health | 61 Mace St, Staten Island, NY 10306-1454 | 2019-10-28 |
| 1457859266 | Grand Home Care, Inc | Home Health | 102 Alan Loop, Staten Island, NY 10304-4460 | 2018-01-26 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1750808671 | Angel Home Care Agency Inc | Home Health | 1422 Hylan Blvd Fl 2, Staten Island, NY 10305-1923 | 2017-08-23 |
| 1598280737 | Irene Agivaive | Home Health | 262 Shotwell Ave, Staten Island, NY 10312-1963 | 2017-08-09 |
| 1659815405 | Angel Home Care Agency Inc | Home Health | 1422 Hylan Blvd, 2nd Floor, Staten Island, NY 10305-1923 | 2016-12-13 |
| 1033565593 | Executive Home Care, Inc | Home Health | 672 Britton Ave, Staten Island, NY 10304-4436 | 2016-05-13 |
| 1023486941 | Jaclyn Hunt | Home Health | 673 Woolley Ave, Staten Island, NY 10314-4217 | 2015-09-09 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.