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EXTRACARE HOME CARE AGENCY
NPI 1104063270
Home Health in Rockaway Beach, NY

Active since January 12, 2009
214 BEACH 96TH ST, ROCKAWAY BEACH, NY 11693(718) 713-0004(718) 713-0008 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Extracare Home Care Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTRACARE HOME CARE AGENCY (NPI 1104063270) is a healthcare organization registered as a home health in Rockaway Beach, New York and active in the NPI registry since January 2009. The organization lists Marcia Morgan-parker, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104063270
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSURFSIDE MANOR HFA LHCSA
Location Address214 BEACH 96TH STRockaway Beach, NY 11693-1338
Mailing Address214 Beach 96th StRockaway Beach, NY 11693-1338 · (718) 713-0004 · Fax (718) 713-0008
Phone(718) 713-0004
Fax(718) 713-0008
Organization SubpartNo
Authorized OfficialMarcia Morgan-parkerAdministrator · (718) 713-0004
Enumeration DateJanuary 12, 2009
✔ NPI 1104063270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in NY · 1150L001
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
214 BEACH 96TH ST, Rockaway Beach, NY 11693
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Other Names 1

Doing Business AsExtracare Home Care Agency

Other Identifiers 1

Other1150L001NY · License Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surfside Manor Hfa Lhcsa's NPI number?

The NPI number for Surfside Manor Hfa Lhcsa is 1104063270. It was assigned to this organization in the NPPES registry on January 12, 2009. The provider is doing business as Extracare Home Care Agency.

Where is Surfside Manor Hfa Lhcsa located?

Surfside Manor Hfa Lhcsa is located at 214 Beach 96th St, Rockaway Beach, NY 11693. The listed phone number is (718) 713-0004.

What is Surfside Manor Hfa Lhcsa's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Surfside Manor Hfa Lhcsa was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.