AWIXA HOME OF LI, INC (NPI# 1154789683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154789683 |
| Entity Type | Organization |
| Organization Name | AWIXA HOME OF LI, INC |
| Practice Address |
199 Benton Pl Bay Shore NY 11706-1507 |
| Mailing Address |
301 Clearview Ln Massapequa NY 11758-8505 |
| Practice Telephone | 5168829492 |
| Practice Fax Number | 5168829494 |
| Mailing Telephone | 5168829492 |
| Mailing Fax Number | 5168829494 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | MRS. ALYSE ROBIN CARDELLO (CEO) |
| Authorized Official Telephone | 5168829492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | NY | Managed Care Organizations |
| Street Address |
199 BENTON PL |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982000220 | Family Help Services | Preferred Provider Organization | 46 Millay Ln, Bay Shore, NY 11706-4322 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1982131751 | Wendy Sanzone-korkus | Preferred Provider Organization | 260 7th St, Saint James, NY 11780-2731 | 2017-05-11 |
| 1043753874 | Lisa M. Cassidy, Psychology, P.C. | Preferred Provider Organization | 4250 Vets Hwy, Suite 215, Holbrook, NY 11741-4000 | 2016-11-28 |
| 1780136259 | E. Focus Mental Health Pllc | Preferred Provider Organization | 1713 1719 Ralph Ave, Brooklyn, NY 11236 | 2016-10-31 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1356707293 | Precision Family Dental Nyc | Preferred Provider Organization | 2134 30th Ave, Astoria, NY 11102-3332 | 2016-01-07 |
| 1932565850 | Precision Periodontics Nyc | Preferred Provider Organization | 20124 43rd Ave, Bayside, NY 11361-2545 | 2016-01-07 |
| 1518331156 | Essential Energy Acupuncture, P.C. | Preferred Provider Organization | 2409 Avenue Z, Brooklyn, NY 11235-2631 | 2015-11-19 |
| 1336511336 | Early Intervention Cornerstone, Inc. | Preferred Provider Organization | 98-34 Alstyne Avenue, Floor 2, Corona, NY 11368 | 2015-10-29 |
| 1073983201 | Aftercare Nursing Services | Preferred Provider Organization | 152 Ladner Ave, Lower, Back, Buffalo, NY 14220-2140 | 2015-09-30 |
| Find all providers with the same taxonomy | ||||
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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.