EXTRAORDINARY HOME CARE (NPI# 1962728071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962728071 |
Entity Type | Organization |
Organization Name | EXTRAORDINARY HOME CARE |
Practice Address |
5 Dakota Dr Suite 200 New Hyde Park NY 11042-1109 |
Practice Telephone | 5164719300 |
Mailing Telephone | 5164719300 |
Enumeration Date | 2010-04-14 |
Last Update Date | 2012-01-23 |
Authorized Official Name | MS. FREDERIQUE ALTIDOR (MANAGER) |
Authorized Official Telephone | 7182818688 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | NY | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | EXTRAORDINARY HOME CARE | 5 Dakota Drive, New Hyde Park, Ny 11042 |
Street Address |
5 DAKOTA DR SUITE 200 |
City | NEW HYDE PARK |
State | NY |
Zip Code | 11042-1109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366589731 | St Mary's Hospital for Children, Inc. | Home Health | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2007-02-01 |
1245845676 | Cheynese Francis | Physical Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2020-09-11 |
1063054047 | Shannon Kristin Reardon | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2019-10-11 |
1740835545 | Jessica Lauren D'arienzo | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2019-08-08 |
1679069785 | Andre Pryce | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2018-07-02 |
1326555954 | Ming Cheung | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042 | 2018-01-04 |
1871008979 | Michelle Bardin | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2017-12-11 |
1760918064 | Matthew Rosenboom | General Acute Care Hospital | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2017-05-04 |
1457701815 | Scott Wolfe | Student in an Organized Health Care Education/Training Program | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2016-06-16 |
1538545876 | St. Mary's Hospital Case Management | Home Health | 5 Dakota Dr, Suite 200, New Hyde Park, NY 11042-1107 | 2015-08-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
Find all providers in zip 11042 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
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. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194375253 | Charnele Wilson | Home Health | 1985 Marcus Ave, New Hyde Park, NY 11042-2008 | 2019-09-19 |
1679055222 | Sheri Manson | Home Health | 1979 Marcus Ave Ste E102, New Hyde Park, NY 11042-1002 | 2018-08-30 |
1740788116 | Safecare Home Care Agency Inc. | Home Health | 1621a Hillside Ave, New Hyde Park, NY 11040-2603 | 2018-01-31 |
1922467554 | Freedom Care LLC | Home Health | 1979 Marcus Ave., Suite C115, New Hyde Park, NY 11042-1001 | 2016-02-10 |
1366589731 | St Mary's Hospital for Children, Inc. | Home Health | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2007-02-01 |
1073585691 | Long Island Jewish Medical Center | Home Health | 1983 Marcus Ave, New Hyde Park, NY 11042 | 2006-02-07 |
1194253252 | Vipul Patel, Pt PC | Home Health | 46 Daley St, New Hyde Park, NY 11040-3604 | 2017-06-01 |
1992155972 | Intermed Care Solutions, LLC | Home Health | 1979 Marcus Ave, New Hyde Park, NY 11042-1076 | 2016-06-21 |
1538545876 | St. Mary's Hospital Case Management | Home Health | 5 Dakota Dr, Suite 200, New Hyde Park, NY 11042-1107 | 2015-08-10 |
1548596497 | Critical Care Nursing Agency, LLC | Home Health | 1111 Marcus Ave, Suite # 100, New Hyde Park, NY 11042-1034 | 2009-10-28 |
Find all providers in NEW HYDE PARK |
City | NEW HYDE PARK |
Zip Code | 11042 |
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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.