Active NPI
Osareniye Dorcas Edenamigho II
- Home Health Aide
- New York, NY
National Provider Identifier
1215746466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 01003186
- Practice address
- 21 Sherman Ave Apt 4K
New York, NY 10040-1822 - Phone
- (929) 478-0817
- NPI assigned
- Jan 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NY | ||
| Home Health Aide | 374U00000X | 01003186 | NY | Primary |
| State or Local Public Health Clinic/Center | 261QP0905X | NY |
Addresses
Primary practice location
21 Sherman Ave Apt 4K
New York, NY 10040-1822
Mailing address
21 Sherman Ave
New York, NY 10040-1815
Phone (929) 478-0817
Other practice location 1
191-44 113th saint albans Queens 11412
New York
Queens, NY 11412
Phone (929) 478-0817
Other practice location 2
14753A 231st St
Springfield Gardens, NY 11413-4429
Phone (929) 478-0817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396531042 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01003186 | NY | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dorcie Services in Family Health LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1215746466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SHERMAN AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401815",
"telephone_number": "929-478-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SHERMAN AVE APT 4K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401822",
"telephone_number": "929-478-0817"
}
],
"practiceLocations": [
{
"address_1": "191-44 113th saint albans Queens 11412",
"address_2": "New York",
"address_purpose": "LOCATION",
"city": "Queens",
"state": "NY",
"postal_code": "11412",
"country_code": "US",
"telephone_number": "929-478-0817",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14753A 231st St",
"address_purpose": "LOCATION",
"city": "Springfield Gardens",
"state": "NY",
"postal_code": "114134429",
"country_code": "US",
"telephone_number": "929-478-0817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDENAMIGHO",
"first_name": "OSARENIYE",
"middle_name": "DORCAS",
"name_prefix": "Ms.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-02",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NY",
"license": "01003186",
"primary": true
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396531042",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.