Active NPI
Damen Companion Home Care DBN Damen Ambulette
- Non-emergency Medical Transport (VAN)
- Deer Park, NY
National Provider Identifier
1396385035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- DAMEN COMPANION HOME CARE DBN DAMEN AMBULETTE
- Practice address
- 699 Acorn St
Deer Park, NY 11729-4235 - Phone
- (631) 747-6167
- NPI assigned
- Jan 10, 2020
- Organization subpart
- Yes
- Parent organization
- DAMEN COMPANION HOME CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adejoke Osofisan
- Title
- Owner
- Phone
- (631) 747-6167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
699 Acorn St
Deer Park, NY 11729-4235
Mailing address
1792 Carleton Ave
Bay Shore, NY 11706-1600
National Provider Directory
National Provider DirectoryLocations
699 Acorn St
Deer Park, NY 11729
Phone (631) 747-6167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578614400000",
"number": "1396385035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 CARLETON AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117061600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 ACORN ST",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117294235",
"telephone_number": "631-747-6167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAMEN COMPANION HOME CARE DBN DAMEN AMBULETTE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAMEN COMPANION HOME CARE",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A",
"authorized_official_last_name": "OSOFISAN",
"authorized_official_first_name": "ADEJOKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-747-6167"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.