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Individual Home Care Provider, Inc
Home Health Agency in Centereach, New York
NPI 1336345610

Individual Home Care Provider, Inc is a Home Health Agency based in Centereach, NY. Individual Home Care Provider, Inc practices in Centereach, NY. The NPI Number for Individual Home Care Provider, Inc is 1336345610 and holds a License No. 9934L001 (New York).

The current practice location address for Individual Home Care Provider, Inc is 2364 Middle Country Rd, Centereach, NY and can be reached out via phone at 631-467-4435.

Location: 2364 Middle Country Rd, Centereach, NY, 11720-3502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336345610
Provider Name
Individual Home Care Provider, Inc
Credential
Provider Entity Type
Organization
Address
2364 Middle Country Rd, Centereach, NY, 11720-3502
Phone Number
631-467-4435
Fax Number
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2364 Middle Country Rd
City
Centereach
State
New York
Zip
11720-3502
Phone Number
631-467-4435
Fax Number
person
Provider Business Mailing Address Details
Address
2364 Middle Country Rd
City
Centereach
State
New York
Zip
11720-3502
Phone Number
631-467-4435
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
9934L001 (New York)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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