Organization
ISLAND HOME CARE AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PIERRO RPH (OWNER/PHARMACIST)
(631) 289-6223
Entity
Organization
Contact information
Practice address
193 MONTAUK HWY, SPEONK, NY 11972
(631) 289-6223
(631) 289-7473
Mailing address
PO BOX 244, SPEONK, NY 11972-0244
(631) 289-6223
(631) 289-7473
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1578L001
NY
251E00000X
Home Health Agency
9266L001
NY
251F00000X
Home Infusion Agency
1578L001
NY
251F00000X
Home Infusion Agency
9266L001
NY
251J00000X
Nursing Care Agency
1578L001
NY
251J00000X
Nursing Care Agency
9266L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00884579
—
NY
01
—
1578L001
LICENSE NUMBER
NY
01
—
9266L001
STATE LICENSE NUMBER
NY
Enumeration date
04/05/2006
Last updated
03/19/2014
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