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
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