ABC HOME CARE SUPPLIES (NPI# 1457846602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457846602 |
| Entity Type | Organization |
| Organization Name | ABC HOME CARE SUPPLIES |
| Other Organization Name | ABC HOME CARE AGENCY INC |
| Practice Address |
12 Clarke Street Brentwood NY 11717-2002 |
| Mailing Address |
12 Clarke St Brentwood NY 11717-2002 |
| Practice Telephone | 6312730762 |
| Practice Fax Number | 6312730762 |
| Mailing Telephone | 6312730762 |
| Mailing Fax Number | 6312730762 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | AKEESHA LOCKITT (PRESIDENT) |
| Authorized Official Telephone | 6312730762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04674246 | 05 |
| Other Name | Type Code |
|---|---|
| ABC HOME CARE AGENCY INC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588125926 | Abc Home Care Supplies | Durable Medical Equipment & Medical Supplies | 12 Clarke St, Brentwood, NY 11717-2002 | 2019-03-28 |
| Street Address |
12 CLARKE STREET |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791001 | Risemedical, LLC | Durable Medical Equipment & Medical Supplies | 7003 Chadwick Dr # 215, Brentwood, TN 37027-5232 | 2019-10-15 |
| 1659913226 | Black Bear Medical LLC | Durable Medical Equipment & Medical Supplies | 7003 Chadwick Dr Ste 211, Brentwood, TN 37027-5232 | 2019-10-15 |
| 1063073039 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5410 Maryland Way Ste 100rx, Brentwood, TN 37027-5064 | 2019-06-21 |
| 1770966624 | Mobile Med Solutions | Durable Medical Equipment & Medical Supplies | 106 Wilson Pike Circle Suite 106, Brentwood, TN 37027 | 2015-07-09 |
| 1649665373 | @homerx Therapies, LLC | Durable Medical Equipment & Medical Supplies | 116 Wilson Pike Cir Ste 106, Brentwood, TN 37027-2707 | 2015-03-31 |
| 1598158032 | Jonathan Myers | Durable Medical Equipment & Medical Supplies | 116 Wilson Pike Circle, Suite 106, Brentwood, TN 37027 | 2015-03-09 |
| 1154712370 | Pain Therapy Solutions, LLC | Durable Medical Equipment & Medical Supplies | 320 Seven Springs Way # 266, Brentwood, TN 37027 | 2015-02-10 |
| 1689099053 | U.S. Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 4010 Bladensburg Rd, Brentwood, MD 20722 | 2014-02-21 |
| 1265856967 | Postop Planners LLC | Durable Medical Equipment & Medical Supplies | 7101 Sharondale Ct, Suite 500, Brentwood, TN 37027-3202 | 2014-02-17 |
| 1154609741 | Rb Medical | Durable Medical Equipment & Medical Supplies | 6711 Walnut Hills Dr, Brentwood, TN 37027-7864 | 2011-07-30 |
| Find all providers in BRENTWOOD | ||||
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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.