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General NPI Number Information
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NPI Number | 1801566500
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Entity Type | Organization
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Legal Business Name | ZION GRACE HOME HEALTH CARE & COMMUNITY SERVICES
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 54 BRUNSWICK WOODS DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5601
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Country | US
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Telephone | 732-569-2901
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Fax | 732-889-7520
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Provider Business Mailing Address
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Address Line | 16 STOOTHOFF DR
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-3621
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Country | US
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Telephone | 646-361-4468
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHU-CHUN S SU
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Credential | MS
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Telephone | 646-361-4468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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