Provider Demographics
NPI:1780670711
Name:NURSING SISTERS HOME CARE, INC.
Entity Type:Organization
Organization Name:NURSING SISTERS HOME CARE, INC.
Other - Org Name:CATHOLIC HEALTH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:OCONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-828-7400
Mailing Address - Street 1:110 BI COUNTY BLVD STE 114
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3923
Mailing Address - Country:US
Mailing Address - Phone:631-828-7400
Mailing Address - Fax:631-828-7475
Practice Address - Street 1:110 BI COUNTY BLVD STE 114
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3923
Practice Address - Country:US
Practice Address - Phone:631-828-7400
Practice Address - Fax:631-828-7475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2914600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00321935Medicaid
NY004509OtherEMPIRE BLUE CROSS BLUE SH
NY00321935Medicaid