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Contact Information

LONG BEACH MEDICAL CENTER HOME CARE AGENCY
455 EAST BAY DRIVE
LONG BEACH, NY11561
 Phone: 516-897-1065
 Fax: 516-897-1064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for LONG BEACH MEDICAL CENTER HOME CARE AGENCY

NPI # 1760405062
LBN Legal business name LONG BEACH MEDICAL CENTER HOME CARE AGENCY
Authorized official BARRY STERN - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
NY Medicaid 00245487
Other 000185 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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