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Activities of Daily Living Home Care — NPI 1376893941, Mastic Beach, NY | NPI Central

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NPI 1376893941

OrganizationActive

Activities of Daily Living Home Care

NPI 1376893941 · Home Health Agency · Mastic Beach, NY

Provider details

NPI number: 1376893941
Entity type: Organization
Primary specialty: Home Health AgencyAgencies
Organization subpart: No
Authorized official: Kendra Lewis, Cna(631) 394-6639

Specialties & taxonomies

Home Health AgencyPrimary251E00000X
Agencies
Physical Disabilities Residential Treatment Facility320700000X
Residential Treatment Facilities
Mental Illness Community Based Residential Treatment Facility320800000X
Residential Treatment Facilities
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Psychiatric Residential Treatment Facility323P00000X
Residential Treatment Facilities
Private Vehicle347C00000X
Transportation Services

Practice location

67 Diana Dr

Mastic Beach, NY 11951-6308

Phone: (631) 394-6639

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

67 Diana Dr

Mastic Beach, NY 11951-6308

Registry dates

Enumerated: 2012-09-11
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.