QDM Enterprise Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

QDM ENTERPRISE INC

Practice address

215 Ackerman St
Central Islip, NY 11722-3601

Phone

(917) 287-5217

Fax

(631) 415-4420

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Adewunmi Green

Title

Owner

Phone

(917) 287-5217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831611425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ACKERMAN ST",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223601",
            "telephone_number": "917-287-5217",
            "fax_number": "631-415-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ACKERMAN ST",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223601",
            "telephone_number": "917-287-5217",
            "fax_number": "631-415-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QDM ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ADEWUNMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-287-5217"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Maria Poulin, R.N.
• Ronald Aron Prada, PHARMD
• Cindy Britanyk Pratt
• Alissa Marie Prince
• Lorain L Prince
• Tricia Annmarie Quallo-Pilgrim, LPN
• R & M Medical Transportattion
• Emily Raber
• Lauren Kelly Radecki, PA-C
• Muhammad Faiz Rahman

• In Home Supportive Care Agency in Central Islip, NY
• Providers in Central Islip, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.