SURFSIDE MANOR HFA LHCSA (NPI# 1104063270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104063270 |
| Entity Type | Organization |
| Organization Name | SURFSIDE MANOR HFA LHCSA |
| Other Organization Name | EXTRACARE HOME CARE AGENCY |
| Practice Address |
214 Beach 96th St Rockaway Beach NY 11693-1338 |
| Practice Telephone | 7187130004 |
| Practice Fax Number | 7187130008 |
| Mailing Telephone | 7187130004 |
| Mailing Fax Number | 7187130008 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | MARCIA MORGAN-PARKER (ADMINISTRATOR) |
| Authorized Official Telephone | 7187130004 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1150L001 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | 1150L001 | 01 |
| Other Name | Type Code |
|---|---|
| ExtraCare Home Care Agency | Doing Business As Name - Organization |
| Street Address |
214 BEACH 96TH ST |
| City | ROCKAWAY BEACH |
| State | NY |
| Zip Code | 11693-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972099232 | Robert O'connor | Social Worker | 8802 Rockaway Blvd, Rockaway Beach, NY 11693 | 2018-07-10 |
| 1972046662 | Martyna Bunko | Speech-Language Pathologist | 8000 Shore Front Pkwy Apt 12t, Rockaway Beach, NY 11693 | 2016-11-29 |
| 1013464585 | Marissa Ann Mundy | Occupational Therapist | 55 West 15th Road, Broad Channel, NY 11693 | 2016-09-01 |
| 1477803088 | Dina Shneyder | Registered Nurse | 8200 Shore Front Parkway, #10-a, Rockaway Beach, NY 11693 | 2012-09-12 |
| 1962719278 | All Medical Care Supply, Inc | Durable Medical Equipment & Medical Supplies | 8400 Shore Front Parkway, Apt 4r, Rockaway Beach, NY 11693 | 2010-09-08 |
| 1437349347 | Anzhelika Ilyayeva | Registered Nurse | 168 Beach 96 Street, Rockaway, NJ 11693 | 2007-07-26 |
| 1821297458 | Citywide Family Practice Medical, P.C. | Family Medicine | 86-24 Rockaway Blvd, Rockaway Beach, NY 11693 | 2007-07-13 |
| 1457563439 | Gerard George Dy Docdocil | Physical Therapist | 217 Beach 95 St, Rockaway Beach, NY 11693 | 2007-05-04 |
| 1962538363 | Linda Scott | Chiropractor | 22 West 16th Road, Broad Channel, NY 11693 | 2007-02-27 |
| 1013550417 | Rachel Maki | Counselor | 8802 Rockaway Blvd, Rockaway Beach, NY 11693 | 2019-10-18 |
| Find all providers in zip 11693 | ||||
| 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 |
|---|---|---|---|---|
| 1639591282 | Humble & Healing Care Services Inc. | Home Health | 344 Beach 88th St, A, Rockaway Beach, NY 11693-1421 | 2014-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972024 | Consortium Home Care Inc | Home Health | 16316 Northern Blvd Fl 2, Flushing, NY 11358-2645 | 2020-11-03 |
| 1679172100 | Amelia Home Care Inc. | Home Health | 3007 Ocean Pkwy Apt 1, Brooklyn, NY 11235-8053 | 2020-10-26 |
| 1164021887 | Preferred Certified, LLC | Home Health | 5223 Broadway, Bronx, NY 10463-7636 | 2020-10-23 |
| 1063010767 | 6677 Broadway LLC | Home Health | 140 Beach 119th St, Rockaway Park, NY 11694-1953 | 2020-10-14 |
| 1730787524 | Michele L Spinnichia | Home Health | 34 Blakeslee St, Rochester, NY 14609-2212 | 2020-10-13 |
| 1497353379 | Nuimage Wellness Services Inc | Home Health | 320 Wilson St Ste 2, West Hempstead, NY 11552-2019 | 2020-10-13 |
| 1124626312 | Julienne E Corp | Home Health | 1468 E 100th St, Brooklyn, NY 11236-5521 | 2020-10-12 |
| 1821695834 | Rymax Electronics Inc | Home Health | 1805 5th Ave Ste F, Bay Shore, NY 11706-1761 | 2020-10-02 |
| 1003421074 | Massagebywen Pllc | Home Health | 24028 Memphis Ave, Rosedale, NY 11422-2017 | 2020-09-15 |
| 1679188056 | Anchor Home Care, LLC | Home Health | 50 Lakefront Boulevard Suite 200, Buffalo, NY 14202-4301 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | ROCKAWAY BEACH |
| Zip Code | 11693 |
Please comment or provide details below to improve the information on SURFSIDE MANOR HFA LHCSA.
| 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.