Healthcare Provider Details

I. General information

NPI: 1992666903
Provider Name (Legal Business Name): DAISYS HOME CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 SUNRISE HWY STE 6
LINDENHURST NY
11757-2500
US

IV. Provider business mailing address

145 SUNRISE HWY STE 6
LINDENHURST NY
11757-2500
US

V. Phone/Fax

Practice location:
  • Phone: 631-345-1112
  • Fax: 631-345-1121
Mailing address:
  • Phone: 631-345-1112
  • Fax: 631-345-1121

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: DORINE MARCELLUS
Title or Position: OWNER
Credential:
Phone: 631-345-1111