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DAMIAN FAMILY CARE CENTERS, INC.
NPI 1154868594
Clinic/Center - Federally Qualified Health Center (FQHC) in Richmond Hill, NY

Active since January 24, 2017
11711 MYRTLE AVE, RICHMOND HILL, NY 11418(718) 847-9233(718) 849-1093 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2022, Jan 24, 2017 (2 updates tracked since 2017).

About Damian Family Care Centers, Inc. NPPES

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

DAMIAN FAMILY CARE CENTERS, INC. (NPI 1154868594) is a healthcare organization registered as a federally qualified health center (fqhc) in Richmond Hill, New York and active in the NPI registry since January 2017. The organization lists Kavanaugh Chandler, President/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1154868594
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDAMIAN FAMILY CARE CENTERS, INC.
Location Address11711 MYRTLE AVERichmond Hill, NY 11418-1751
Mailing Address8956 162nd St Fl 3Jamaica, NY 11432-5072 · (718) 657-1100 · Fax (718) 657-1870
Phone(718) 847-9233
Fax(718) 849-1093
Organization SubpartYes
Authorized OfficialKavanaugh ChandlerPresident/ Ceo · (718) 657-1100
Enumeration DateJanuary 24, 2017
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1154868594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in NY · 7003246R
11711 MYRTLE AVE, Richmond Hill, NY 11418
Open in Google Maps ↗

Other Names 1

Other NameProject Samaritan Health Services

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Damian Family Care Centers, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20180613001133Part A · Federally Qualified Health Center (FQHC)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER JACKSON
Social Worker (Clinical)
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
NANCY DIAZ
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
RADAMES ORTIZ
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
LINDA J WOODARD CASAC-2
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
ORA NUSBAUM
Counselor
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
JOHN VENZA LCSW-R
Social Worker (Clinical)
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
MR. STEVE RIAD RAHAMAN LMSW
Social Worker
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
ALEXIS GADSDEN CASAC
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233

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 Damian Family Care Centers, Inc.'s NPI number?

The NPI number for Damian Family Care Centers, Inc. is 1154868594. It was assigned to this organization in the NPPES registry on January 24, 2017. The provider is also known as Project Samaritan Health Services.

Where is Damian Family Care Centers, Inc. located?

Damian Family Care Centers, Inc. is located at 11711 Myrtle Ave, Richmond Hill, NY 11418. The listed phone number is (718) 847-9233.

What is Damian Family Care Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Damian Family Care Centers, Inc. enrolled in Medicare?

Yes. Damian Family Care Centers, Inc. is registered in the Medicare PECOS enrollment system.

When is Damian Family Care Centers, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (New York, Federally Qualified Health Center (FQHC)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Damian Family Care Centers, Inc. was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.