SURROGATE FAMILY CARE LLC (NPI# 1639720188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639720188 |
| Entity Type | Organization |
| Organization Name | SURROGATE FAMILY CARE LLC |
| Practice Address |
1300 Jericho Tpke Ste 205 New Hyde Park NY 11040-4601 |
| Practice Telephone | 5168062223 |
| Mailing Telephone | 5168062223 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | PREMAL JANI (ADMINISTRATOR) |
| Authorized Official Telephone | 5162056133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
1300 JERICHO TPKE STE 205 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750460 | Premal Jinesh Jani | Home Health Aide | 1300 Jericho Tpke Ste 205, New Hyde Park, NY 11040-4601 | 2019-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750460 | Premal Jinesh Jani | Home Health Aide | 1300 Jericho Tpke Ste 205, New Hyde Park, NY 11040-4601 | 2019-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060697 | Nerlande Sejour | Home Health Aide | 317 Glynn St, North Babylon, NY 11703-3503 | 2020-10-12 |
| 1457966319 | Solid Rock Home Care and Staffing Agency | Home Health Aide | 10809 Flatlands 7th St, Brooklyn, NY 11236-4646 | 2020-09-08 |
| 1275147795 | Kimberly Herring | Home Health Aide | 132 South St, Newburgh, NY 12550-4539 | 2020-09-02 |
| 1811500382 | Margarita Colon Jr. | Home Health Aide | 70 E 108th St Apt 7c, New York, NY 10029-3827 | 2020-08-25 |
| 1083226260 | Betchina Sagaille | Home Health Aide | 19407 112th Rd, Saint Albans, NY 11412-2413 | 2020-08-19 |
| 1346867504 | Kimberly Tarbox | Home Health Aide | 1533 State Route 66, Ghent, NY 12075-2908 | 2020-07-02 |
| 1245853464 | Bertha Serwaa Antobre | Home Health Aide | 2407 Tilden Ave Apt B, Brooklyn, NY 11226-8163 | 2020-05-21 |
| 1275155780 | Diamond Care Companion Agency Inc. | Home Health Aide | 7 Lattice Ct, Ridge, NY 11961-1901 | 2020-05-07 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134752801 | Happy and Great Home Care Services, Inc. | Home Health Aide | 1060 E 229th St, Bronx, NY 10466-4808 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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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.