NPIMap

Organization Active NPI

Damian Family Care Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rhinebeck, NY
National Provider Identifier
1346629995
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7003246R Issued in NY
Legal business name
DAMIAN FAMILY CARE CENTERS, INC.
Practice address
216 Fox Hollow Road
Rhinebeck, NY 12572
Phone
(845) 516-1002
Fax
(845) 876-5173
NPI assigned
May 28, 2015
Organization subpart
No

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000040 NY Part A Provider - Federally Qualified Health Center (FQHC) 6507849882 Practice locations: Rhinebeck, NY

Federally qualified health center certification: CCN 331188

Legal name
DAMIAN FAMILY CARE CENTERS, INC.
Doing business as
PROJECT SAMARITAN HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 2016
Last certification
Mar 1, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 1999 in NY
Enrollment address
216 Fox Hollow Rd
Rhinebeck, NY 12572-3641

All disclosed owners & managing parties 8

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Tavolacci Individual Corporate DirectorBoard Member Jun 21, 2016
Junnie E Campbell Individual Corporate DirectorBoard Chair Jun 15, 2004
Arismendi Jimenez Individual Corporate DirectorBoard Member Mar 17, 2017
Michael Degraffenreid Individual Corporate DirectorBoard Secretary Jun 15, 2004
Cynthia Cortes Individual Corporate DirectorBoard Member Jun 15, 2004
Idania Lopez Mercado Individual Corporate DirectorBoard Member Aug 16, 2016
Kavanaugh Chandler Individual Corporate OfficerCeo Apr 13, 2026
Corporate DirectorPresident Apr 13, 2026
W-2 Managing EmployeePresident / Ceo Apr 13, 2026
Chinyere Eze-Nliam Individual Corporate DirectorBoard Vice Chair Mar 29, 2016

National Provider Directory

National Provider Directory

Locations

216 Fox Hollow Rd
Rhinebeck, NY 12572
Phone (845) 516-1002

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip Gunraj
Title
Chief Financial Officer
Phone
(718) 657-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7003246R NY Primary

Addresses

Primary practice location

216 Fox Hollow Road
Rhinebeck, NY 12572

Mailing address

138-02 Queens Boulevard, 2ND Floor
Briarwood, NY 11435
Phone (718) 657-1100

Other names 1

  • Project Samaritan Health Services Doing business as

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1346629995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138-02 QUEENS BOULEVARD, 2ND FLOOR",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-657-1100",
            "fax_number": "718-657-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FOX HOLLOW ROAD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572",
            "telephone_number": "845-516-1002",
            "fax_number": "845-876-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIAN FAMILY CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "GUNRAJ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-657-1100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7003246R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project Samaritan Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.