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BROOKHAVEN MEMORIAL HOSPITAL HOME HEALTH AGENCY
NPI 1104823996
Home Health in Patchogue, NY

Active since July 07, 2005
103 WEST MAIN STREET, PATCHOGUE, NY 11772(631) 758-3600(631) 758-3615 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookhaven Memorial Hospital Home Health Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKHAVEN MEMORIAL HOSPITAL HOME HEALTH AGENCY (NPI 1104823996) is a healthcare organization registered as a home health in Patchogue, New York and active in the NPI registry since July 2005. The organization lists Brenda J Farrell, Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1104823996
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Location Address103 WEST MAIN STREETPatchogue, NY 11772-3003
Mailing Address103 West Main StreetPatchogue, NY 11772-3003 · (631) 758-3600 · Fax (631) 758-3615
Phone(631) 758-3600
Fax(631) 758-3615
Organization SubpartYesParent: Brookhaven Memorial Hospital Medical Center Inc
Authorized OfficialBrenda J FarrellVice President & Cfo · (631) 654-7175
Enumeration DateJuly 7, 2005
Last NPPES UpdateAugust 26, 2019
✔ NPI 1104823996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in NY · 5123600
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
103 WEST MAIN STREET, Patchogue, NY 11772
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Other Names 1

Doing Business AsBrookhaven Memorial Hospital Home Health Agency

Other Identifiers 2

Medicaid00245529NY
Other000086NY · Empire Blue Cross

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookhaven Memorial Hospital Medical Center, Inc.'s NPI number?

The NPI number for Brookhaven Memorial Hospital Medical Center, Inc. is 1104823996. It was assigned to this organization in the NPPES registry on July 7, 2005. The provider is doing business as Brookhaven Memorial Hospital Home Health Agency.

Where is Brookhaven Memorial Hospital Medical Center, Inc. located?

Brookhaven Memorial Hospital Medical Center, Inc. is located at 103 West Main Street, Patchogue, NY 11772. The listed phone number is (631) 758-3600.

What is Brookhaven Memorial Hospital Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Brookhaven Memorial Hospital Medical Center, Inc. was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.