MEDICARE: TERRASTONE BUILDERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1164354379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRASTONE BUILDERS LLC

Provider Business Mailing Address
First Line	:	5720 11TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-4507
Country	:	US
Telephone Number	:	347-461-3915
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 BAYSIDE TER
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-4005
Country	:	US
Telephone Number	:	347-461-3915
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUREH STERN
Credential	:
Telephone Number	:	347-461-3915

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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