Healthcare Provider Details

I. General information

NPI: 1285451203
Provider Name (Legal Business Name): OURCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2024
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8916 175TH ST APT 6G
JAMAICA NY
11432-5552
US

IV. Provider business mailing address

8916 175TH ST APT 6G
JAMAICA NY
11432-5552
US

V. Phone/Fax

Practice location:
  • Phone: 347-992-1933
  • Fax: 332-262-7799
Mailing address:
  • Phone: 347-992-1933
  • Fax: 332-262-7799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SIRAJUL ISLAM LIPON
Title or Position: PRESIDENT
Credential:
Phone: 347-992-1933