Provider Demographics
NPI:1952943854
Name:SUFFOLK HOME CARE LLC
Entity Type:Organization
Organization Name:SUFFOLK HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FILOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-281-2600
Mailing Address - Street 1:2 CORACI BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-4833
Mailing Address - Country:US
Mailing Address - Phone:631-281-2600
Mailing Address - Fax:631-281-6732
Practice Address - Street 1:2 CORACI BLVD STE 10
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-4833
Practice Address - Country:US
Practice Address - Phone:631-281-2600
Practice Address - Fax:631-281-6732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health