EXTRAORDINARY HOME CARE


Address: 5 Dakota Dr, Suite 200, New Hyde Park, NY 11042-1109
Phone: 5164719300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health NY Agencies

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations EXTRAORDINARY HOME CARE 5 Dakota Drive, New Hyde Park, Ny 11042

Office Location

Street Address 5 DAKOTA DR
SUITE 200
City NEW HYDE PARK
State NY
Zip Code 11042-1109

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City NEW HYDE PARK
Zip Code 11042

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Dataset Information

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.

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