Organization Active NPI

Damen Companion Home Care DBN Damen Ambulette

  • Non-emergency Medical Transport (VAN)
  • Deer Park, NY
National Provider Identifier
1396385035
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.