Provider Demographics
NPI:1801566500
Name:ZION GRACE HOME HEALTH CARE & COMMUNITY SERVICES
Entity type:Organization
Organization Name:ZION GRACE HOME HEALTH CARE & COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHU-CHUN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SU
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:646-361-4468
Mailing Address - Street 1:16 STOOTHOFF DR
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3621
Mailing Address - Country:US
Mailing Address - Phone:646-361-4468
Mailing Address - Fax:
Practice Address - Street 1:54 BRUNSWICK WOODS DR
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5601
Practice Address - Country:US
Practice Address - Phone:732-569-2901
Practice Address - Fax:732-889-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle