Peconic Bay Homehealth Services

LBN: Central Suffolk Hospital
Peconic Bay Homehealth Services is an health care organization with primary practice located at 1300 Roanoke Ave , Riverhead NY 11901-2031. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Central Suffolk Hospital can be contacted via phone (631) 548-6000, or through Cusack, Michele L via phone (516) 321-6058.

Contact Information

Primary practice address
1300 Roanoke Ave Riverhead NY 11901-2031
Phone: (631) 548-6000
Fax: (631) 548-6397
Website:
Map and Directions
Authorized official contact:
Name: Cusack, Michele L
Phone: (516) 321-6058

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 5155601 New York

Profile Details

NPI number 1932155678
LBN Legal business name Central Suffolk Hospital
DBA Doing business as Peconic Bay Homehealth Services
Authorized official Cusack, Michele L
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Dec 9th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932155678 NPPES
New York Other 000250-7 BLUE CROSS
New York MEDICAID 03000300 BLUE CROSS
New York MEDICAID 00274328 BLUE CROSS

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