Organization · NPI-2

100 Lincoln Blvd LLC

Clinic/Center, Multi-Specialty · Hempstead, NY

NPI number1033016712

StatusActive

Last updated in NPPESOct 24, 2026

Details

NPI: 1033016712
Entity type: Organization (NPI-2)
Legal business name: 100 Lincoln Blvd LLC
Organization subpart: No
Enumeration date: Oct 24, 2026
Certification date: Oct 24, 2026
Last updated: Oct 24, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM1300X	Clinic/Center, Multi-Specialty	–	–	Yes
164W00000X	Licensed Practical Nurse	–	–
171WH0202X	Contractor, Home Modifications	–	–
174H00000X	Health Educator	–	–
177F00000X	Lodging	–	–
253Z00000X	In Home Supportive Care	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
3747A0650X	Technician, Attendant Care Provider	–	–
3747P1801X	Technician, Personal Care Attendant	–	–
374U00000X	Home Health Aide	–	–
376K00000X	Nurse's Aide	–	–
405300000X	Prevention Professional	–	–

Practice location

100 Lincoln Blvd
Hempstead, NY 11550-1743

Phone 516-444-8970

Mailing address

Po Box 212
Garden City, NY 11530-0212

Phone 516-444-8970

Authorized official

Martine Aguiar
Owner
5164448970

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.