Organization
PROVIDERS R'US LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAPHNEY BOURJOLLY (CEO)
(631) 480-7300
Entity
Organization
Contact information
Practice address
655 BELLE TERRE RD APT 1, PORT JEFFERSON, NY 11777-1945
(631) 480-7300
Mailing address
655 BELLE TERRE RD APT 1, PORT JEFFERSON, NY 11777-1945
(631) 480-7300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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