Healthcare Provider Details

I. General information

NPI: 1164354379
Provider Name (Legal Business Name): TERRASTONE BUILDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 BAYSIDE TER
JERSEY CITY NJ
07305-4005
US

IV. Provider business mailing address

5720 11TH AVE
BROOKLYN NY
11219-4507
US

V. Phone/Fax

Practice location:
  • Phone: 347-461-3915
  • Fax:
Mailing address:
  • Phone: 347-461-3915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUREH STERN
Title or Position: PRESIDENT
Credential:
Phone: 347-461-3915