QC-MEDI NEW YORK INC. NPI 1912939489

NPI Information

  • NPI: 1912939489
  • Provider Name: QC-MEDI NEW YORK, INC.
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: CENTERWELL HOME HEALTH
  • CLIA Number: 33D0711254
  • Address: 115 CONTINUUM DR STE 2E
    LIVERPOOL, NY
    ZIP 13088
  • Phone: (315) 461-0209

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NPI Details

QC-MEDI NEW YORK, INC. is a home health in Liverpool, NY. The provider is 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. QC-MEDI NEW YORK, INC. NPI is 1912939489. The provider is registered as an organization entity type.
The provider Is Doing Business As Centerwell Home Health.

The provider's business location address is:

115 CONTINUUM DR STE 2E
LIVERPOOL, NY
ZIP 13088-387
Phone: (315) 461-0209

The provider's authorized official is John Nichols .
The authorized official title is Authorized Signatory and has the following contact phone number (315) 461-0209.

The CLIA number assigned to this NPI record is 33D0711254 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1120243OTHERG2
2565800OTHERG2
3040401001283OTHERG2
4520119OTHERG2
500011327202OTHERG2
6000161506OTHERG2
7112645333OTHERG2
8112802024OTHERG2
90003302145OTHERG2
107215344OTHERG2
11335394OTHERG2
12337255OTHERG2
134411OTHERG2
14112256479OTHERG2
15000900434000OTHER1B
1601085501MEDICAIDNEW YORK
17116529OTHERG2
18317065OTHERG2

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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