Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

LPN

Organization In Home Supportive Care Agency · NPI 1255733978

LPN is an In Home Supportive Care Agency in Mastic Beach, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

15 Lacrosse Rd
Mastic Beach, NY 11951-4901
Phone: (631) 729-6844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence 3141511 (NY)

Record details

NPI number1255733978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Rosalia — Licensed Practical Nurse · (631) 729-6844
NPI enumeratedSeptember 24, 2014
Last updated in NPPESSeptember 24, 2014
Mailing address15 Lacrosse Rd, Mastic Beach, NY 11951-4901

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