Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTH SHORE HOME HEALTH SERVICE, INC.
Active
Organization
SOUTH SHORE HOME HEALTH SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARBY ANDERSON (EVP CHIEF STRATEGY OFFICER)
(630) 296-3443
Entity
Organization
Contact information
Practice address
3275 VETERANS HWY STE 15, RONKONKOMA, NY 11779-7664
(631) 567-6555
(631) 567-7923
Mailing address
801 WARRENVILLE RD STE 800, LISLE, IL 60532-0912
(630) 296-3400
(630) 487-2713
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0318L001
NY
251E00000X
Home Health Agency
Primary
0318L001
NY
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01052359
—
NY
05
—
01085496
—
NY
Enumeration date
02/14/2012
Last updated
04/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up