Organization
BRYAN SKILLED HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY MADDEN RN (ADM)
(631) 608-8523
Entity
Organization
Contact information
Practice address
365 BROADWAY, STE 4, AMITYVILLE, NY 11701
(631) 608-8523
(631) 608-2859
Mailing address
365 BROADWAY, STE 4, AMITYVILLE, NY 11701
(631) 608-8523
(631) 608-2859
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1817L
NY
251E00000X
Home Health Agency
Primary
1817L001
NY
251F00000X
Home Infusion Agency
1817L
NY
251F00000X
Home Infusion Agency
1817L001
NY
251J00000X
Nursing Care Agency
1817L
NY
251J00000X
Nursing Care Agency
1817L001
NY
253Z00000X
In Home Supportive Care Agency
1817L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03314129
—
NY
Enumeration date
10/26/2010
Last updated
07/21/2022
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