Provider Demographics
NPI:1932148707
Name:HEIGHTS HOME HEALTH CARE & SURGICAL SUPLIES, INC.
Entity Type:Organization
Organization Name:HEIGHTS HOME HEALTH CARE & SURGICAL SUPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GURRIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-981-9000
Mailing Address - Street 1:515 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-2803
Mailing Address - Country:US
Mailing Address - Phone:718-981-9000
Mailing Address - Fax:718-981-4191
Practice Address - Street 1:515 BROADWAY
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-2803
Practice Address - Country:US
Practice Address - Phone:718-981-9000
Practice Address - Fax:718-981-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00756116Medicaid
NY0127910001Medicare ID - Type Unspecified