- Enrollment id
- O20100823000272
- Enrollment state
- NY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1861464471
- Multiple npi flag
- Y
- Ccn
- 337148
- Associate id
- 5890609929
- Organization name
- NORTH SHORE UNIVERSITY HOSPITAL
- Doing business as name
- NORTH SHORE HOME CARE
- Incorporation date
- 1990-01-01
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 972 BRUSH HOLLOW RD
- City
- WESTBURY
- State
- NY
- Zip code
- 115901740
- Practice location type
- HHA BRANCH