Provider Demographics
NPI:1952617755
Name:D&S HOME CARE AGENCY; LLC
Entity Type:Organization
Organization Name:D&S HOME CARE AGENCY; LLC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GUIRLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-717-4447
Mailing Address - Street 1:211 BROADWAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3290
Mailing Address - Country:US
Mailing Address - Phone:516-717-4447
Mailing Address - Fax:516-960-9345
Practice Address - Street 1:211 BROADWAY
Practice Address - Street 2:301
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-3290
Practice Address - Country:US
Practice Address - Phone:516-717-4447
Practice Address - Fax:516-960-9345
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D&S HOME CARE AGENCY; LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1774L311ZA0620X, 3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home