Healthcare Provider Details

I. General information

NPI: 1891227203
Provider Name (Legal Business Name): DHCARE NY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 04/25/2020
Certification Date: 04/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17215 HILLSIDE AVE
JAMAICA NY
11432-4643
US

IV. Provider business mailing address

5030 65TH PL
WOODSIDE NY
11377-5817
US

V. Phone/Fax

Practice location:
  • Phone: 718-459-0180
  • Fax: 718-561-2834
Mailing address:
  • Phone: 646-732-2427
  • Fax: 718-766-2316

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: MR. SHAHRIAR RAHMAN
Title or Position: PRESIDENT
Credential:
Phone: 646-732-2427