OUTREACH DEVELOPMENT CORPERATION (NPI# 1922639178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922639178 |
| Entity Type | Organization |
| Organization Name | OUTREACH DEVELOPMENT CORPERATION |
| Practice Address |
400 Crooked Hill Rd Brentwood NY 11717-1039 |
| Practice Telephone | 6312313232 |
| Mailing Telephone | 6312313232 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | NADINE TEICH (REGISTERED NURSE) |
| Authorized Official Telephone | 6316611917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
400 CROOKED HILL RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588152821 | Jillian D'ornellas-lacombe | Marriage & Family Therapist | 400 Crooked Hill Rd, Brentwood, NY 11717-1039 | 2018-04-23 |
| 1922651231 | Jennifer Gilligan | Registered Nurse | 400 Crooked Hill Rd, Brentwood, NY 11717-1039 | 2019-07-17 |
| 1194299131 | Jacqueline Andrea Patwell | Registered Nurse | 400 Crooked Hill Rd, Brentwood, NY 11717-1039 | 2019-01-13 |
| 1821565532 | Mabel Danielle Brandy | Registered Nurse | 400 Crooked Hill Rd, Brentwood, NY 11717-1039 | 2018-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962921148 | Key Nursing Staffing & Consulting | Nursing Care | 9117 Concord Hunt Cir, Brentwood, TN 37027-8762 | 2017-09-19 |
| 1730560871 | Surecare Nursing | Nursing Care | 5920 River Oaks Rd, Brentwood, TN 37027-4024 | 2015-06-15 |
| 1588065981 | Wester Health Care, Inc. | Nursing Care | 2802 Hilldale Ave, Brentwood, MO 63144-2616 | 2014-09-05 |
| 1235469560 | Wendy Newland | Nursing Care | 113 4th St, Brentwood, NY 11717-5525 | 2010-01-08 |
| 1497928717 | Southern Professioanl Medical Staffing | Nursing Care | 9308 Chesapeake Dr, Brentwood, TN 37027-7458 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181141 | Kristy Lee Rogonia | Nursing Care | 160 2nd St, Buchanan, NY 10511-1412 | 2020-10-16 |
| 1275130569 | Holistic Care Connections LLC | Nursing Care | 3632 Kingsbridge Ave Fl 2, Bronx, NY 10463-2339 | 2020-10-08 |
| 1699380022 | Remo Soriano Jr. | Nursing Care | 28 Trapper Ln, Levittown, NY 11756-5231 | 2020-09-11 |
| 1992310569 | Maria Clear | Nursing Care | 59 Brewster Dr, Carmel, NY 10512-6413 | 2020-09-10 |
| 1992314439 | Philip Boadu | Nursing Care | 140 Donizetti Pl Apt 18f, Bronx, NY 10475-2069 | 2020-07-30 |
| 1497371058 | Regina Arnold | Nursing Care | 590 Mill Rd Apt 1, Rhinebeck, NY 12572-2512 | 2020-06-19 |
| 1063035574 | Fidelity Home Care Inc | Nursing Care | 1829 E 13th St Ste 1b, Brooklyn, NY 11229-2887 | 2020-05-19 |
| 1629699632 | Bonus Salus | Nursing Care | 222 Blair Ave, Bronx, NY 10465-3756 | 2020-04-30 |
| 1003435835 | Cindy Mei | Nursing Care | 1736 Dahill Rd Fl 1, Brooklyn, NY 11223-1751 | 2020-04-12 |
| 1659903581 | Christine Charles, Aprn, Inc. | Nursing Care | 1428 Granada Pl, Far Rockaway, NY 11691-1708 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.