ISLAND HOME CARE AGENCY, INC. (NPI# 1609186436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609186436 |
| Entity Type | Organization |
| Organization Name | ISLAND HOME CARE AGENCY, INC. |
| Practice Address |
175 Commerce Drive Ste D Hauppauge NY 11788-3920 |
| Practice Telephone | 6312896223 |
| Practice Fax Number | 6312897473 |
| Mailing Telephone | 6312896223 |
| Mailing Fax Number | 6312897473 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | SUSAN FECHTMANN (VICE PRESIDENT/ADMINISTRATOR) |
| Authorized Official Telephone | 6312896223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | 1578L001 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00884579 | 05 |
| Street Address |
175 COMMERCE DRIVE STE D |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744074 | Chs Home Support Services | Home Infusion | 15 Power Dr, Hauppauge, NY 11788-4229 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343398 | Trinity Homecare LLC | Home Infusion | 11402 15th Ave Ste 1, College Point, NY 11356-1402 | 2020-10-12 |
| 1013539311 | Micah Eastman Lpn, Michael Eastman Rn, Oshea Eastman Rn, Pllc | Home Infusion | 555 Madison Ave Ste 545, New York, NY 10022-3301 | 2020-05-11 |
| 1487285490 | Careuniversal Inc | Home Infusion | 416 N Fulton Ave, Mount Vernon, NY 10552-2214 | 2020-01-29 |
| 1003471913 | Nyac Infusions, LLC | Home Infusion | 1725 E 12th St Ste 101, Brooklyn, NY 11229-1068 | 2019-05-06 |
| 1922576479 | Kathleen Flynn | Home Infusion | 1551 Church St, Holbrook, NY 11741-5204 | 2018-11-02 |
| 1689181661 | Bioscrip Nursing Services, LLC | Home Infusion | 100 Clearbrook Rd Ste 180, Elmsford, NY 10523 | 2017-12-29 |
| 1689181687 | Bioscrip Nursing Services, LLC | Home Infusion | 118-35 Queens Boulevard, Suite 406, Forest Hills, NY 11375-7200 | 2017-12-29 |
| 1700245693 | Specialty Infusions Inc. | Home Infusion | 1624 Broadway, Brooklyn, NY 11207-1026 | 2016-02-19 |
| 1891135935 | Louis Career Development Center Inc. | Home Infusion | 41-61 Kissena Blvd. Suite C29, Flushing, NY 11355 | 2013-07-03 |
| 1073850715 | Bdrn Pharmacy, LLC | Home Infusion | 13 James P Kelly Way Ste F, Middletown, NY 10940 | 2013-01-15 |
| 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.