CaregiverChangesV2Details - struct
Body
CaregiverChangesV2Details - struct
GetCaregiverChangesV2Response
CaregiverChangesV2Details - struct
GetCaregiverChangesV2Result
CaregiverChangesV2Details - struct
GetCaregiverChangesV2Info
CaregiverChangesV2Details - array
1
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 347-858-0769
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 148 BRUCKNER BLVD #2
Street2 [empty string]
Zip4 [empty string]
Zip5 10454
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-02-08
BranchID 0
CaregiverCode 55212
CaregiverID 3928139
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth US
DateofBirth 1965-05-04
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name KIM BROWN
Phone1 646-530-9079
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName YVETTE
FirstWorkDate 2024-03-18
Gender Female
HireDate 2024-03-07
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials YP
Language1 2
Language2 0
Language3 0
Language4 0
LastName PARKS
LastWorkDate 2024-12-11
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-03 11:44:38.123
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ykpj148@gmail.com
MethodID 2
MobileOrSMS 347-858-0769
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson PATIENT TRANSFER
ReferralSourceID 10097415
RegistryDate 2024-02-08
Registrynumber 114885
Rehire No
RehireDate [empty string]
SSN 050-58-3876
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1640234
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 055212
TimeZone Eastern
2
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City RICHMOND HILL
HomePhone 929-631-8032
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 8922 129TH STREET
Street2 [empty string]
Zip4 [empty string]
Zip5 11418
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-01-07
BranchID 0
CaregiverCode 58307
CaregiverID 4321826
CaregiverMobileID 5139069
CaregiverMobileIDType Non-Clinical
CountryOfBirth VENEZUELA
DateofBirth 1975-10-31
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 8922 129TH ST
Name PEDRO ANTONIO SACANAMISOL
Phone1 [empty string]
Phone2 646-996-5642
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MIGDALIA
FirstWorkDate [empty string]
Gender Female
HireDate 2025-02-17
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-02-14
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MP
Language1 1
Language2 0
Language3 0
Language4 0
LastName PEREZ QUINTERO
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName J
ModifiedDate 2025-07-03 12:55:53.117
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MIGDALIAPEREZ459@GMAIL.COM
MethodID 2
MobileOrSMS 929-631-8032
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED (EDGER G.)
ReferralSourceID 10115599
RegistryDate 2025-02-17
Registrynumber 01232415
Rehire No
RehireDate [empty string]
SSN 880-37-1000
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-06-19
TimeAndAttendancePIN 058307
TimeZone Eastern
3
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City ARVERNE
HomePhone 917-517-4836
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 7400 SHORE FRONT PKWY APT 1K
Street2 [empty string]
Zip4 [empty string]
Zip5 11692
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-05-29
BranchID 0
CaregiverCode 55989
CaregiverID 4034538
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth UKRAINE
DateofBirth 1968-04-20
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name SVETLANA
Phone1 347-522-7028
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName TAMARA
FirstWorkDate 2024-06-22
Gender Female
HireDate 2024-06-04
I9ABDocumentID 1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified N
Initials TK
Language1 7
Language2 0
Language3 0
Language4 0
LastName KOLOMEYER
LastWorkDate 2025-04-30
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-03 13:51:39.133
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email TAMARAK68@GMAIL.COM
MethodID 2
MobileOrSMS 917-517-4836
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer RiverSpring Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10099938
RegistryDate 2024-05-29
Registrynumber 177516
Rehire No
RehireDate [empty string]
SSN 066-82-0324
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1640234
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 055989
TimeZone Eastern
4
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City [empty string]
HomePhone [empty string]
Phone2 [empty string]
Phone3 [empty string]
State [empty string]
Street1 [empty string]
Street2 [empty string]
Zip4 [empty string]
Zip5 [empty string]
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-05-30
BranchID 0
CaregiverCode 53831
CaregiverID 3638424
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth [empty string]
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType A
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline [empty string]
Ethnicity [empty string]
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName RAISA
FirstWorkDate [empty string]
Gender Select
HireDate [empty string]
I9ABDocumentID 0
I9CDocumentID 0
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified [empty string]
Initials RK
Language1 7
Language2 0
Language3 0
Language4 0
LastName KERIMOVA
LastWorkDate [empty string]
LocationID 0
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-03 18:03:18.740
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS [empty string]
VoiceMessage [empty string]
OfficeID 1282
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10099947
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN [empty string]
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Rejected
StatusNote [empty string]
StatusReason 0
TeamID 10377884
TerminatedDate [empty string]
TimeAndAttendancePIN 053831
TimeZone Eastern
5
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-617-9249
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 122 WELDON ST #2-F
Street2 [empty string]
Zip4 [empty string]
Zip5 11208
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-02-08
BranchID 0
CaregiverCode 55117
CaregiverID 3912772
CaregiverMobileID 1659669
CaregiverMobileIDType Non-Clinical
CountryOfBirth COLOMBIA
DateofBirth 1970-11-01
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name RAMIRO LOAITA
Phone1 347-772-0730
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARTHA
FirstWorkDate 2024-03-09
Gender Female
HireDate 2024-02-23
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MB
Language1 1
Language2 0
Language3 0
Language4 0
LastName BARRERA
LastWorkDate 2025-01-19
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 11:03:19.870
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email mc3135577106@gmail.com
MethodID 2
MobileOrSMS 347-617-9249
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson PATIENT TRANSFER
ReferralSourceID 10097415
RegistryDate 2024-02-08
Registrynumber 928392
Rehire No
RehireDate [empty string]
SSN 717-38-5693
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 055117
TimeZone Eastern
6
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City JAMAICA
HomePhone 910-922-0284
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 11726 SMITH ST BSMT
Street2 [empty string]
Zip4 [empty string]
Zip5 11434
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-03-17
BranchID 0
CaregiverCode 54235
CaregiverID 3721058
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth USA
DateofBirth 1962-11-29
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 117-26 SMITH ST. JAMAICA N.Y.11434
Name MARY JENKINS
Phone1 [empty string]
Phone2 347-807-3859
RelationshipID 409581
RelationshipName Sister
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PCA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MADELINE
FirstWorkDate 2023-08-27
Gender Female
HireDate 2023-08-24
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MJ
Language1 2
Language2 0
Language3 0
Language4 0
LastName JENKINS
LastWorkDate 2025-01-21
LocationID 10048700
MaritalStatus S
MiddleName M
ModifiedDate 2025-07-07 11:17:56.840
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MMJENKINS1129@GMAIL.COM
MethodID 2
MobileOrSMS 910-922-0284
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, Fidelis Care, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson TRAINEE
ReferralSourceID 10097425
RegistryDate 2023-04-11
Registrynumber 01037611
Rehire No
RehireDate [empty string]
SSN 112-56-0419
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 054235
TimeZone Eastern
7
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-610-0301
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 314 E 196TH ST. #2A
Street2 [empty string]
Zip4 [empty string]
Zip5 10458
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-12
BranchID 0
CaregiverCode 56541
CaregiverID 4107883
CaregiverMobileID 4945740
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1967-08-06
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name MAXIMA MOSQUE
Phone1 347-358-0947
Phone2 [empty string]
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName CECILIA
FirstWorkDate [empty string]
Gender Female
HireDate 2024-10-08
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials CF
Language1 1
Language2 0
Language3 0
Language4 0
LastName FIGUEREO DEL ROSARIO
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 11:20:06.797
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email CFIGUEREO67@GMAIL.COM
MethodID 2
MobileOrSMS 929-610-0301
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate 2024-07-12
Registrynumber 1146496
Rehire No
RehireDate [empty string]
SSN 672-72-9088
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056541
TimeZone Eastern
8
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 917-870-4988
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1271 HAVEMEYER AVE APT 1R
Street2 [empty string]
Zip4 [empty string]
Zip5 10462
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-08-01
BranchID 0
CaregiverCode 56671
CaregiverID 4119043
CaregiverMobileID 4849993
CaregiverMobileIDType Non-Clinical
CountryOfBirth UNITED STATES
DateofBirth 1971-06-20
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 1271 HAVEMEYER AVE APT 1R
Name BRIANNA GRIGGS
Phone1 [empty string]
Phone2 718-924-5171
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName DOLLEEN
FirstWorkDate 2024-09-28
Gender Female
HireDate 2024-09-10
I9ABDocumentID 7
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials DG
Language1 2
Language2 0
Language3 0
Language4 0
LastName GRIGGS
LastWorkDate 2025-01-22
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 11:23:42.760
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email DGRIGGS405@GMAIL.COM
MethodID 2
MobileOrSMS 917-870-4988
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE), Fidelis Care, RiverSpring Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10116586
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 124-58-0547
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056671
TimeZone Eastern
9
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 347-629-1184
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 2296 ANDREWS AVE. APT#5D
Street2 [empty string]
Zip4 [empty string]
Zip5 10468
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-03-05
BranchID 0
CaregiverCode 55303
CaregiverID 3940208
CaregiverMobileID 1460978
CaregiverMobileIDType Non-Clinical
CountryOfBirth U.S.A.
DateofBirth 1968-05-31
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address 321 SECOND ST. PHILADELPHIA
Name IAISHA MUNNERLYN
Phone1 [empty string]
Phone2 347-879-1053
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ELEANOR
FirstWorkDate 2024-03-23
Gender Female
HireDate 2024-03-12
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials EM
Language1 2
Language2 0
Language3 0
Language4 0
LastName MUNNERLYN
LastWorkDate 2025-01-22
LocationID 10048700
MaritalStatus S
MiddleName ROSALEE
ModifiedDate 2025-07-07 11:26:29.633
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MUNNERLYNELEANOR53@GMAIL.COM
MethodID 2
MobileOrSMS 917-656-8408
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Fidelis Care, Healthfirst, Molina Health New York, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10097425
RegistryDate 2024-03-05
Registrynumber 00805508
Rehire No
RehireDate [empty string]
SSN 102-60-4706
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 055303
TimeZone Eastern
10
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-888-4141
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 653 E 240TH ST
Street2 [empty string]
Zip4 [empty string]
Zip5 10470
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-05
BranchID 0
CaregiverCode 56473
CaregiverID 4103484
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth JAMAICA
DateofBirth 1971-07-27
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 653 E 240TH ST
Name RICHARD ROBINSON
Phone1 516-430-8601
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PCA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName CARMELETTA
FirstWorkDate 2024-08-04
Gender Female
HireDate 2024-07-30
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials CR
Language1 2
Language2 0
Language3 0
Language4 0
LastName ROBINSON
LastWorkDate 2025-01-22
LocationID 10048700
MaritalStatus M
MiddleName N
ModifiedDate 2025-07-07 11:29:06.213
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email CARMELETTAROBINSON@GMAIL.COM
MethodID 2
MobileOrSMS 929-888-4141
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE), VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate 2024-07-05
Registrynumber 1023206
Rehire No
RehireDate [empty string]
SSN 417-97-9281
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056473
TimeZone Eastern
11
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 917-676-1377
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 349 E 19 STREET APT 3E
Street2 [empty string]
Zip4 [empty string]
Zip5 11226
AgencyID 337
AlternateCaregiverCode 020651255
ApplicationDate 2018-05-29
BranchID 0
CaregiverCode 46868
CaregiverID 1195765
CaregiverMobileID 4400590
CaregiverMobileIDType Non-Clinical
CountryOfBirth [empty string]
DateofBirth 1958-09-05
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name EROL WATERS
Phone1 917-202-2065
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName CHRISTINE
FirstWorkDate 2018-07-12
Gender Female
HireDate 2018-05-29
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials CW
Language1 2
Language2 0
Language3 0
Language4 0
LastName WALTERS
LastWorkDate 2025-01-22
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 11:32:22.797
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email christinewalters417@gmail.com
MethodID 2
MobileOrSMS 917-676-1377
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Aetna Better Health of NY, Elderplan MJHS, Excellent Home Care Services, Fidelis Care, Girling Health Care Of New York, MJHS HOSPICE, NYC Health and Hospital, Revival Home Health Care
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 020-65-1255
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 046868
TimeZone Eastern
12
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-488-0694
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 971 E 82ND STREET APT #1
Street2 [empty string]
Zip4 [empty string]
Zip5 11236
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2022-03-23
BranchID 0
CaregiverCode 52327
CaregiverID 3106385
CaregiverMobileID 1649274
CaregiverMobileIDType Non-Clinical
CountryOfBirth HAITI
DateofBirth 1986-05-04
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JOHANE
FirstWorkDate 2022-05-05
Gender Female
HireDate 2022-05-01
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JM
Language1 12
Language2 2
Language3 0
Language4 0
LastName MASCARY
LastWorkDate 2025-01-23
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 11:38:46.610
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email johane25m@gmail.com
MethodID 2
MobileOrSMS 347-488-0694
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst, RiverSpring Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber 385009
Rehire No
RehireDate [empty string]
SSN 299-27-1936
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 052327
TimeZone Eastern
13
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 646-353-9399
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 92-17 SEAVIEW AVE.
Street2 [empty string]
Zip4 [empty string]
Zip5 11236
AgencyID 337
AlternateCaregiverCode 070726497
ApplicationDate 1996-02-14
BranchID 0
CaregiverCode 6058
CaregiverID 194290
CaregiverMobileID 4358630
CaregiverMobileIDType Non-Clinical
CountryOfBirth [empty string]
DateofBirth 1973-05-03
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName PATRICIA
FirstWorkDate 2016-05-26
Gender Female
HireDate 1996-02-14
I9ABDocumentID 16
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials PM
Language1 2
Language2 0
Language3 0
Language4 0
LastName MCALMONT
LastWorkDate 2025-01-25
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 11:43:28.787
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email pamrem47@gmail.com
MethodID 2
MobileOrSMS 646-353-9399
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer NYC Health and Hospital, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 070-72-6497
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 006058
TimeZone Eastern
14
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City Brooklyn
HomePhone 347-562-8392
Phone2 347-562-8392
Phone3 [empty string]
State Ny
Street1 840 East 8th street
Street2 6B
Zip4 [empty string]
Zip5 11230
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-11-20
BranchID 0
CaregiverCode 54684
CaregiverID 3838780
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1971-10-13
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name FIRUZA
Phone1 917-618-9475
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName SVETLANA
FirstWorkDate 2023-12-04
Gender Female
HireDate 2023-11-27
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2025-08-21
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials SB
Language1 7
Language2 0
Language3 0
Language4 0
LastName BAZAROVA
LastWorkDate 2025-01-26
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 11:47:11.290
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email 3810sveta@gmail.com
MethodID 2
MobileOrSMS 347-562-8392
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer RiverSpring Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber 670597
Rehire No
RehireDate [empty string]
SSN 509-63-8609
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 054684
TimeZone Eastern
15
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City NEW YORK
HomePhone 917-909-9834
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 57 VERMILYEA AVE APT 1D
Street2 [empty string]
Zip4 [empty string]
Zip5 10034
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-29
BranchID 0
CaregiverCode 56567
CaregiverID 4109470
CaregiverMobileID 1619432
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1981-05-23
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 57 VERMILYEA AVE APT 1D
Name RAYNOSA GENAO
Phone1 [empty string]
Phone2 646-956-0547
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName LUCIA
FirstWorkDate 2025-01-25
Gender Female
HireDate 2024-08-26
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials LC
Language1 1
Language2 0
Language3 0
Language4 0
LastName CABRERA NUNEZ
LastWorkDate 2025-01-26
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 11:48:49.927
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email LUCIACABRERA1226@GMAIL.COM
MethodID 2
MobileOrSMS 917-909-9834
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson BC-Transfer
ReferralSourceID 10116586
RegistryDate 2024-07-29
Registrynumber 640717
Rehire No
RehireDate [empty string]
SSN 890-29-8179
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056567
TimeZone Eastern
16
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 917-227-3713
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1267 SHERIDAN AVE APT#3E1
Street2 [empty string]
Zip4 [empty string]
Zip5 10456
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-11-11
BranchID 0
CaregiverCode 57675
CaregiverID 4228924
CaregiverMobileID 4885991
CaregiverMobileIDType Non-Clinical
CountryOfBirth CUBA
DateofBirth 1979-03-31
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 1267 SHERIDAN AVE APT#3E1
Name ADRIANA GRILLO
Phone1 [empty string]
Phone2 917-227-3713
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName YUNAISY
FirstWorkDate 2024-12-03
Gender Female
HireDate 2024-11-13
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2025-09-25
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials YL
Language1 1
Language2 0
Language3 0
Language4 0
LastName LAPORTE GARCIA
LastWorkDate 2025-01-26
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 11:49:39.027
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email YUNAISYGARCIA488@GMAIL.COM
MethodID 2
MobileOrSMS 917-227-3713
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110783
RegistryDate 2024-11-11
Registrynumber 01117874
Rehire No
RehireDate [empty string]
SSN 660-66-9454
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057675
TimeZone Eastern
17
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 347-915-8518
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 2132 AQUEDUCT AVENUE
Street2 [empty string]
Zip4 [empty string]
Zip5 10453
AgencyID 337
AlternateCaregiverCode 611674951
ApplicationDate 2020-10-09
BranchID 0
CaregiverCode 50553
CaregiverID 2311836
CaregiverMobileID 1225557
CaregiverMobileIDType Non-Clinical
CountryOfBirth [empty string]
DateofBirth 1980-10-05
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name JENNIFER MCKENZIE
Phone1 917-519-8360
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HSK
3 HMK
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ORAL
FirstWorkDate 2021-02-18
Gender Male
HireDate 2020-09-30
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials OM
Language1 2
Language2 0
Language3 0
Language4 0
LastName MCKENZIE
LastWorkDate 2025-01-26
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 11:54:24.100
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email oralmcken94@yahoo.com
MethodID 2
MobileOrSMS 347-915-8518
VoiceMessage 347-915-8518
OfficeID 11876
Other [empty string]
Payer Fidelis Care, RiverSpring Health Plans, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber [empty string]
Rehire Yes
RehireDate 2020-10-09
SSN 611-67-4951
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 050553
TimeZone Eastern
18
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City ELMHURST
HomePhone 347-684-6157
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 4045 ELBERTSON 242
Street2 [empty string]
Zip4 [empty string]
Zip5 11373
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-08-17
BranchID 10096402
CaregiverCode 57447
CaregiverID 4207181
CaregiverMobileID 4909143
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1974-11-03
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 4045 ELBERSON ST #242, QUEENS, NY 11373
Name VICTOR JIMENEZ
Phone1 917-995-3820
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARILENIS
FirstWorkDate 2024-12-01
Gender Female
HireDate 2024-10-28
I9ABDocumentID 7
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MF
Language1 1
Language2 0
Language3 0
Language4 0
LastName FLORIAN DE JIMENEZ
LastWorkDate 2025-01-30
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 11:55:44.677
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MARIFLORIAN3637@GMAIL.COM
MethodID 2
MobileOrSMS 347-684-6157
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFY
ReferralSourceID 10110816
RegistryDate 2024-09-17
Registrynumber 1144366
Rehire No
RehireDate [empty string]
SSN 749-07-5600
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057447
TimeZone Eastern
19
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City Long Islas city
HomePhone 347-776-2587
Phone2 347-776-2587
Phone3 [empty string]
State NY
Street1 38-43 12th st
Street2 901
Zip4 [empty string]
Zip5 11101
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-09-03
BranchID 0
CaregiverCode 58116
CaregiverID 4300256
CaregiverMobileID 5036096
CaregiverMobileIDType Clinical
CountryOfBirth [empty string]
DateofBirth 1984-06-12
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 3859 12 TH ST
Name ROBERTO
Phone1 347-776-2027
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName WAYOLI
FirstWorkDate 2025-01-22
Gender Female
HireDate 2025-01-21
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-07-05
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials WM
Language1 1
Language2 0
Language3 0
Language4 0
LastName MATHEUS
LastWorkDate 2025-01-30
LocationID 10048700
MaritalStatus [empty string]
MiddleName M
ModifiedDate 2025-07-07 11:56:37.100
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MATHEUSWAYOLIS@GMAIL.COM
MethodID 2
MobileOrSMS 347-776-2587
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10098380
RegistryDate 2024-09-03
Registrynumber 1170523
Rehire No
RehireDate [empty string]
SSN 744-18-4163
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058116
TimeZone Eastern
20
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City Bronx
HomePhone 347-592-9240
Phone2 347-592-9240
Phone3 [empty string]
State NY
Street1 1404 Jesup Ave
Street2 4M
Zip4 [empty string]
Zip5 10452
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-04-03
BranchID 0
CaregiverCode 55729
CaregiverID 4002450
CaregiverMobileID 4837157
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1997-11-25
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name MICKEY MIGUEL
Phone1 917-701-0463
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName YESENIA
FirstWorkDate 2024-08-10
Gender Female
HireDate 2024-05-03
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber IOE0324020440
I9Notes [empty string]
I9Verified Y
Initials YT
Language1 2
Language2 0
Language3 0
Language4 0
LastName TAVAREZ
LastWorkDate 2025-01-31
LocationID 10048700
MaritalStatus S
MiddleName ALT
ModifiedDate 2025-07-07 11:58:23.983
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email yeseniatavarezjimenez@gmail.com
MethodID 2
MobileOrSMS 347-592-9240
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber 01120277
Rehire No
RehireDate [empty string]
SSN 715-79-5959
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 055729
TimeZone Eastern
21
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City CORONA
HomePhone 551-216-8016
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 53-05 96TH STREET 2ND FL
Street2 [empty string]
Zip4 [empty string]
Zip5 11368
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-03
BranchID 0
CaregiverCode 56268
CaregiverID 4084232
CaregiverMobileID 4988960
CaregiverMobileIDType Non-Clinical
CountryOfBirth COLOMBIA
DateofBirth 1984-04-24
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name LUISA F. PUENTES
Phone1 [empty string]
Phone2 347-531-8411
RelationshipID 423905
RelationshipName Cousin
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 PCA
2 HCSS
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName LEIDY
FirstWorkDate 2024-09-16
Gender Female
HireDate 2024-09-12
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-03-05
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials LB
Language1 1
Language2 0
Language3 0
Language4 0
LastName BETANCUR PAJOY
LastWorkDate 2025-02-01
LocationID 10048700
MaritalStatus S
MiddleName VIVIANA
ModifiedDate 2025-07-07 11:59:54.837
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email LEIDYBETANCURP378@GMAIL.COM
MethodID 2
MobileOrSMS 551-216-8016
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson TRAINEE
ReferralSourceID 10115599
RegistryDate 2024-08-07
Registrynumber 1164252
Rehire No
RehireDate [empty string]
SSN 882-61-8698
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056268
TimeZone Eastern
22
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City NEW YORK
HomePhone 914-821-7085
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1370 ST. NICHOLAS AVE #11M
Street2 [empty string]
Zip4 [empty string]
Zip5 10033
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-31
BranchID 0
CaregiverCode 56944
CaregiverID 4133405
CaregiverMobileID 5009232
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1975-02-05
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name JUAN BRITO
Phone1 646-342-0999
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PCA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate 2024-08-31
Gender Female
HireDate 2024-08-27
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-04-03
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MC
Language1 1
Language2 0
Language3 0
Language4 0
LastName CALDERON ABREU
LastWorkDate 2025-02-02
LocationID 10048700
MaritalStatus S
MiddleName ALTAGRACIA
ModifiedDate 2025-07-07 12:01:19.510
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email CIRILAABREU28@GMAIL.COM
MethodID 2
MobileOrSMS 914-821-7085
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate 2024-07-31
Registrynumber 1157768
Rehire No
RehireDate [empty string]
SSN 737-02-4040
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056944
TimeZone Eastern
23
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 646-545-8136
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 127 SOMERS ST #1R
Street2 [empty string]
Zip4 [empty string]
Zip5 11233
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-10-17
BranchID 0
CaregiverCode 54495
CaregiverID 3806180
CaregiverMobileID 4784322
CaregiverMobileIDType Non-Clinical
CountryOfBirth GUYANA
DateofBirth 1959-12-11
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name DUNSTON BRISTOL
Phone1 347-542-2951
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JUNE
FirstWorkDate 2024-03-14
Gender Female
HireDate 2023-10-24
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JB
Language1 2
Language2 0
Language3 0
Language4 0
LastName BRISTOL
LastWorkDate 2025-02-05
LocationID 10048705
MaritalStatus M
MiddleName A
ModifiedDate 2025-07-07 12:42:06.000
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email junebristol1959@gmail.com
MethodID 2
MobileOrSMS 646-545-8136
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Fidelis Care, Girling Health Care Of New York, Healthfirst, Revival Home Health Care, SWHNY-MLTC, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10098370
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 858-81-3071
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 054495
TimeZone Eastern
24
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City EAST ELMHURST
HomePhone 347-340-1239
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 3119 101st ST BSMNT
Street2 [empty string]
Zip4 [empty string]
Zip5 11369
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-10-30
BranchID 0
CaregiverCode 57645
CaregiverID 4226884
CaregiverMobileID 5095090
CaregiverMobileIDType Non-Clinical
CountryOfBirth COLOMBIA
DateofBirth 1985-12-20
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name HOOVER ORTEGO
Phone1 347-641-3544
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName LUCI
FirstWorkDate 2025-02-06
Gender Female
HireDate 2025-01-23
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-04-22
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials LM
Language1 1
Language2 0
Language3 0
Language4 0
LastName MEJIA PERTIAGA
LastWorkDate 2025-02-06
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 12:43:36.263
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MEDIALUCI7U@GMAIL.COM
MethodID 2
MobileOrSMS 347-340-1239
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Fidelis Care, Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson WANDALIS PEREZ
ReferralSourceID 10110816
RegistryDate 2024-10-30
Registrynumber 1191826
Rehire No
RehireDate [empty string]
SSN 105-59-2124
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057645
TimeZone Eastern
25
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City WOODSIDE
HomePhone 480-208-8000
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 4033 69ST APT#4B
Street2 [empty string]
Zip4 [empty string]
Zip5 11377
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-10-30
BranchID 0
CaregiverCode 54544
CaregiverID 3812439
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1969-05-10
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PCA
Ethnicity Asian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName VALIANT
FirstWorkDate 2023-11-14
Gender Male
HireDate 2023-11-07
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials VV
Language1 2
Language2 0
Language3 0
Language4 0
LastName VILLAMOR
LastWorkDate 2025-02-06
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 12:44:28.303
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 480-208-8000
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10098390
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 863-25-3483
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 054544
TimeZone Eastern
26
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 401-616-0147
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 885 ELMERE PLACE APT 3
Street2 [empty string]
Zip4 [empty string]
Zip5 10460
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-11-07
BranchID 0
CaregiverCode 53200
CaregiverID 3478548
CaregiverMobileID 4420346
CaregiverMobileIDType Clinical
CountryOfBirth [empty string]
DateofBirth 1962-11-12
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 885 ELMERE PLACE
Name randopho lopez
Phone1 401-616-7464
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JUANA
FirstWorkDate 2024-12-08
Gender Female
HireDate 2024-12-05
I9ABDocumentID 1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JN
Language1 1
Language2 0
Language3 0
Language4 0
LastName NUNEZ
LastWorkDate 2025-02-07
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 12:57:33.767
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 401-616-0147
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate 2024-11-07
Registrynumber 926050
Rehire No
RehireDate [empty string]
SSN 117-74-8589
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 053200
TimeZone Eastern
27
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City SAINT ALBANS
HomePhone 513-315-1359
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 20522 112TH AVE
Street2 [empty string]
Zip4 [empty string]
Zip5 11412
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-11-20
BranchID 0
CaregiverCode 57754
CaregiverID 4239816
CaregiverMobileID 5077052
CaregiverMobileIDType Non-Clinical
CountryOfBirth JAMAICA
DateofBirth 1969-11-16
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 205-22 112TH AVE
Name MITCHELL LAMBERT
Phone1 [empty string]
Phone2 513-315-1359
RelationshipID 423905
RelationshipName Cousin
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Caribbean Indian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName AUDREY
FirstWorkDate 2024-12-10
Gender Female
HireDate 2024-12-05
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-08-14
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials AR
Language1 2
Language2 0
Language3 0
Language4 0
LastName RICHARDS
LastWorkDate 2025-01-20
LocationID 10048700
MaritalStatus M
MiddleName ELIZABETH
ModifiedDate 2025-07-07 13:00:06.697
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email AUDREYHOLNESS653@GMAIL.COM
MethodID 2
MobileOrSMS 513-315-1359
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE), VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate 2024-11-19
Registrynumber 1206315
Rehire No
RehireDate [empty string]
SSN 878-34-0098
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057754
TimeZone Eastern
28
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City YONKERS
HomePhone 914-359-1821
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 3 CARYL AVE APT 33
Street2 [empty string]
Zip4 [empty string]
Zip5 10705
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-01-31
BranchID 0
CaregiverCode 55172
CaregiverID 3922310
CaregiverMobileID 1471484
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1967-09-05
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 3 CARYL AVE APT 33 YONKERS NY 10705
Name RONNY LOPEZ
Phone1 [empty string]
Phone2 347-609-2175
RelationshipID 409579
RelationshipName Son
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ANA
FirstWorkDate 2024-03-25
Gender Female
HireDate 2024-03-01
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials AS
Language1 1
Language2 0
Language3 0
Language4 0
LastName SANCHEZ DE LA ROSA
LastWorkDate 2025-02-08
LocationID 10048700
MaritalStatus M
MiddleName ANYELI
ModifiedDate 2025-07-07 13:05:59.483
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ANASANCHEZ0323@GMAILK.COM
MethodID 2
MobileOrSMS 914-359-1821
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10115599
RegistryDate 2024-01-31
Registrynumber 00767684
Rehire No
RehireDate [empty string]
SSN 871-56-8685
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 055172
TimeZone Eastern
29
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 917-209-5364
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1940 79TH ST
Street2 [empty string]
Zip4 [empty string]
Zip5 11214
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-11-02
BranchID 0
CaregiverCode 54589
CaregiverID 3820739
CaregiverMobileID 4799654
CaregiverMobileIDType Non-Clinical
CountryOfBirth CHINA
DateofBirth 1974-05-04
Dependents 3
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name YONG WEI WU
Phone1 929-249-8010
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HSK
3 HMK
Ethnicity Asian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName PEIYING
FirstWorkDate 2023-11-16
Gender Female
HireDate 2023-11-13
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2025-09-10
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials PL
Language1 4
Language2 0
Language3 0
Language4 0
LastName LUO DE WU
LastWorkDate 2025-02-09
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 13:06:57.860
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email peiyingluo74@gmail.com
MethodID 2
MobileOrSMS 917-209-5364
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110783
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 387-85-8463
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 054589
TimeZone Eastern
30
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City JAMAICA
HomePhone 347-807-9596
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 155-09 LINDEN BLVD APT# 1
Street2 [empty string]
Zip4 [empty string]
Zip5 11434
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-02-01
BranchID 0
CaregiverCode 55074
CaregiverID 3907193
CaregiverMobileID 1249954
CaregiverMobileIDType Non-Clinical
CountryOfBirth ECUADOR
DateofBirth 1986-02-24
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name DARWIN GONZALEZ
Phone1 [empty string]
Phone2 178-350-4944
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HMK
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MIRIAM
FirstWorkDate 2024-03-13
Gender Female
HireDate 2024-03-12
I9ABDocumentID 7
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MA
Language1 1
Language2 0
Language3 0
Language4 0
LastName ASITIMBAY INGA
LastWorkDate 2025-02-11
LocationID 10048700
MaritalStatus M
MiddleName M
ModifiedDate 2025-07-07 13:08:06.330
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email CHIKIZASITIMBAY@GMAIL.COM
MethodID 2
MobileOrSMS 347-807-9596
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Fidelis Care, Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10097385
RegistryDate 2024-02-01
Registrynumber 00539274
Rehire No
RehireDate [empty string]
SSN 114-98-6377
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 055074
TimeZone Eastern
31
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-360-9973
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1925 ANDREW AVE #3N
Street2 [empty string]
Zip4 [empty string]
Zip5 10453
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-12-06
BranchID 0
CaregiverCode 54751
CaregiverID 3848691
CaregiverMobileID 4415843
CaregiverMobileIDType Non-Clinical
CountryOfBirth DR
DateofBirth 1960-01-15
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name NANCY MATOS
Phone1 347-822-2328
Phone2 [empty string]
RelationshipID 409581
RelationshipName Sister
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName SANDRA
FirstWorkDate 2024-03-18
Gender Female
HireDate 2024-03-04
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials SM
Language1 1
Language2 0
Language3 0
Language4 0
LastName MATOS BAEZ
LastWorkDate 2025-02-11
LocationID 10048700
MaritalStatus S
MiddleName R
ModifiedDate 2025-07-07 13:08:59.917
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email sandramatos9182@gmail.com
MethodID 2
MobileOrSMS 929-360-9973
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, Fidelis Care, Healthfirst, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10098380
RegistryDate 2023-12-06
Registrynumber 141626
Rehire No
RehireDate [empty string]
SSN 733-20-8846
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 054751
TimeZone Eastern
32
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-230-3175
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 79 IRVING AVE. #3-R
Street2 [empty string]
Zip4 [empty string]
Zip5 11237
AgencyID 337
AlternateCaregiverCode 128766468
ApplicationDate 2016-11-23
BranchID 0
CaregiverCode 46418
CaregiverID 1046507
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1968-03-15
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName FAREEZA
FirstWorkDate 2022-02-26
Gender Female
HireDate 2005-11-03
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials FA
Language1 2
Language2 0
Language3 0
Language4 0
LastName ALLIE
LastWorkDate 2025-02-12
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 13:34:46.103
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email farie68@yahoo.com
MethodID 2
MobileOrSMS 347-230-3175
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber [empty string]
Rehire Yes
RehireDate 2016-11-23
SSN 128-76-6468
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 046418
TimeZone Eastern
33
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 631-381-3072
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 2175 REEDS MILL LN #9F
Street2 [empty string]
Zip4 [empty string]
Zip5 10475
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-17
BranchID 0
CaregiverCode 56322
CaregiverID 4089918
CaregiverMobileID 4491137
CaregiverMobileIDType Non-Clinical
CountryOfBirth Jamaica
DateofBirth 1982-07-14
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 3475 BIVANA ST BRONX
Name VILMA HARRISON
Phone1 664-953-6449
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName STADENE
FirstWorkDate 2024-09-07
Gender Female
HireDate 2024-08-27
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials SB
Language1 2
Language2 0
Language3 0
Language4 0
LastName BROWN
LastWorkDate 2025-02-12
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 13:37:30.563
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email STADENE31@GMAIL.COM
MethodID 2
MobileOrSMS 631-381-3072
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Excellent Home Care Services, Fidelis Care
ProfessionalLicensenumber [empty string]
ReferralPerson BC-Transfer
ReferralSourceID 10116586
RegistryDate [empty string]
Registrynumber 998525
Rehire No
RehireDate [empty string]
SSN 080-84-9251
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056322
TimeZone Eastern
34
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City NEW YORK
HomePhone 347-478-2882
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 555 W 171ST BSMT
Street2 [empty string]
Zip4 [empty string]
Zip5 10032
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-18
BranchID 0
CaregiverCode 56342
CaregiverID 4092287
CaregiverMobileID 4836985
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1990-04-30
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 555 W 171ST
Name LUIS OLIVARES
Phone1 646-464-5490
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName LENIN
FirstWorkDate 2024-08-26
Gender Female
HireDate 2024-08-15
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials LS
Language1 1
Language2 0
Language3 0
Language4 0
LastName SILVESTRE DE LOS SANTOS
LastWorkDate 2025-02-13
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 13:40:57.777
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email LENINSILVESTRE31@GMAIL.COM
MethodID 2
MobileOrSMS 347-478-2882
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE)
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFY
ReferralSourceID 10116586
RegistryDate 2024-07-18
Registrynumber 1098803
Rehire No
RehireDate [empty string]
SSN 109-53-9778
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056342
TimeZone Eastern
35
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City WOODHAVEN
HomePhone 646-821-6025
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 90-27 76TH ST APT#2
Street2 [empty string]
Zip4 [empty string]
Zip5 11421
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-01-13
BranchID 0
CaregiverCode 58298
CaregiverID 4320815
CaregiverMobileID 5124386
CaregiverMobileIDType Non-Clinical
CountryOfBirth COLOMBIA
DateofBirth 1979-12-11
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 90-27 76TH ST QUEENS N.Y. 11421
Name FRANKLIN SALAZAR
Phone1 [empty string]
Phone2 347-475-2051
RelationshipID 409579
RelationshipName Son
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HSK
3 HMK
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JOANA
FirstWorkDate 2025-02-10
Gender Female
HireDate 2025-02-05
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-11-18
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JA
Language1 1
Language2 0
Language3 0
Language4 0
LastName AGUIRRE GUTIERREZ
LastWorkDate 2025-02-14
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 13:47:40.910
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email JOANAGUITIERREZ79@GMAIL.COM
MethodID 2
MobileOrSMS 646-821-6025
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10115599
RegistryDate 2025-02-05
Registrynumber 01097426
Rehire No
RehireDate [empty string]
SSN 776-41-5967
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058298
TimeZone Eastern
36
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City NEW YORK
HomePhone 929-363-4082
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 10-12E 108ST APT#3A
Street2 [empty string]
Zip4 [empty string]
Zip5 10029
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-02-04
BranchID 0
CaregiverCode 58330
CaregiverID 4326199
CaregiverMobileID 1252288
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1994-06-07
Dependents 2
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name DEIRY PAULINO
Phone1 917-331-8262
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName YOGEIRY
FirstWorkDate [empty string]
Gender Female
HireDate 2025-02-27
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials YG
Language1 1
Language2 0
Language3 0
Language4 0
LastName GRULLON DE PAULINO
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 14:08:30.597
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email GRULLONYOGEIRY@GMAIL.COM
MethodID 2
MobileOrSMS 929-363-4082
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate 2025-02-04
Registrynumber 0556691
Rehire No
RehireDate [empty string]
SSN 734-44-4300
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-06-19
TimeAndAttendancePIN 058330
TimeZone Eastern
37
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 646-804-9334
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 623 E 84TH STREET APT#1
Street2 [empty string]
Zip4 [empty string]
Zip5 11236
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-12-17
BranchID 0
CaregiverCode 58057
CaregiverID 4286875
CaregiverMobileID 5115485
CaregiverMobileIDType Non-Clinical
CountryOfBirth HAITI
DateofBirth 1991-02-19
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 623 E 84TH STREET APT#1
Name MARIA MARCELLIN
Phone1 [empty string]
Phone2 718-809-3528
RelationshipID 423901
RelationshipName Aunt
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName HADASSA
FirstWorkDate 2025-01-17
Gender Female
HireDate 2025-01-08
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2026-06-23
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials HV
Language1 2
Language2 5
Language3 12
Language4 0
LastName VALIERE
LastWorkDate 2025-02-15
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 14:12:29.963
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email HADASSAVALIERE7@GMAIL.COM
MethodID 2
MobileOrSMS 646-804-9334
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, Molina Health New York
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10115599
RegistryDate 2024-12-17
Registrynumber 01209258
Rehire No
RehireDate [empty string]
SSN 721-69-9527
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058057
TimeZone Eastern
38
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-398-1451
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 253 MILLER AVE. 2nd FL
Street2 [empty string]
Zip4 [empty string]
Zip5 11207
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-08-22
BranchID 0
CaregiverCode 54227
CaregiverID 3720091
CaregiverMobileID 4726421
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1969-04-06
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 253 MILLER AVE. BROOKLYN N.Y. 11207
Name LEIRYS JIMENEZ
Phone1 [empty string]
Phone2 347-569-9064
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARCELINA
FirstWorkDate 2023-10-02
Gender Female
HireDate 2023-09-28
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MG
Language1 1
Language2 0
Language3 0
Language4 0
LastName GUTIERREZ DE JIMENEZ
LastWorkDate 2025-02-19
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 14:31:50.227
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MARCELINAGUTIERREZPROFESORA@GMAIL.COM
MethodID 2
MobileOrSMS 347-398-1451
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, Fidelis Care, Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson CERIFIED
ReferralSourceID 10110378
RegistryDate 2023-08-22
Registrynumber 01063588
Rehire No
RehireDate [empty string]
SSN 797-74-1554
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 054227
TimeZone Eastern
39
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City NEW YORK
HomePhone 718-350-0299
Phone2 000-000-0000
Phone3 [empty string]
State NY
Street1 P.O. BOX 161
Street2 [empty string]
Zip4 [empty string]
Zip5 10032
AgencyID 337
AlternateCaregiverCode 536931386
ApplicationDate 2017-06-01
BranchID 0
CaregiverCode 44844
CaregiverID 916466
CaregiverMobileID 4842983
CaregiverMobileIDType Non-Clinical
CountryOfBirth [empty string]
DateofBirth 1969-01-25
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name ARELIS PAYANO
Phone1 347-367-8473
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName BELKIS
FirstWorkDate 2018-01-15
Gender Female
HireDate 2017-06-01
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials BP
Language1 1
Language2 0
Language3 0
Language4 0
LastName PAYANO ABREU
LastWorkDate 2025-02-21
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 14:34:53.967
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email bpayano2415@hotmail.com
MethodID 2
MobileOrSMS 718-350-0299
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE), Elderplan MJHS, Fidelis Care, Girling Health Care Of New York, Healthfirst, VNS Health Health Plans, VNS Health Home Care, VNS Health Hospice
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 536-93-1386
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 044844
TimeZone Eastern
40
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-299-6780
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 435 NEPTUNE AVE 20F
Street2 [empty string]
Zip4 [empty string]
Zip5 11224
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2022-08-17
BranchID 0
CaregiverCode 52763
CaregiverID 3312967
CaregiverMobileID 1141755
CaregiverMobileIDType Non-Clinical
CountryOfBirth KAZAKSTAN
DateofBirth 1975-03-08
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name AYA SULTAN
Phone1 347-988-5198
Phone2 [empty string]
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName DINARA
FirstWorkDate 2022-09-05
Gender Female
HireDate 2022-08-22
I9ABDocumentID 7
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials DB
Language1 7
Language2 0
Language3 0
Language4 0
LastName BALTINA
LastWorkDate 2025-02-24
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 14:48:56.370
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email DINARA.BALTINA777@GMAIL.COM
MethodID 2
MobileOrSMS 347-299-6780
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson VITALINA
ReferralSourceID -1
RegistryDate 2022-08-17
Registrynumber 517363
Rehire No
RehireDate [empty string]
SSN 406-81-2486
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 052763
TimeZone Eastern
41
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 646-737-6329
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1229 TAYLOR AVE 2ND FL
Street2 [empty string]
Zip4 [empty string]
Zip5 10472
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2022-09-19
BranchID 0
CaregiverCode 52901
CaregiverID 3396609
CaregiverMobileID 4510344
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1969-12-09
Dependents 4
EmergencyContact1
CaregiverChangesV2Details - struct
Address 1229 TAYLOR AVE BRONX NY
Name RAFAEL S PERALTA
Phone1 [empty string]
Phone2 347-912-5289
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate 2022-10-10
Gender Female
HireDate 2022-10-06
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MA
Language1 1
Language2 0
Language3 0
Language4 0
LastName ALMARANTE DE SABINO
LastWorkDate 2025-02-25
LocationID 10048700
MaritalStatus M
MiddleName D
ModifiedDate 2025-07-07 14:52:14.507
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email malmarante911@gmail.com
MethodID 2
MobileOrSMS 646-737-6329
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE), Elderplan MJHS, Extended Home Care, Healthfirst, Molina Health New York, SWHNY-MLTC, VNS Health Health Plans, VNS Health Home Care
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10098380
RegistryDate [empty string]
Registrynumber 00604291
Rehire No
RehireDate [empty string]
SSN 125-88-5620
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 052901
TimeZone Eastern
42
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City MT. VERNON
HomePhone 914-625-7346
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 150 SOUTH 5TH AVE #1-V
Street2 [empty string]
Zip4 [empty string]
Zip5 10550
AgencyID 337
AlternateCaregiverCode 844738309
ApplicationDate 2019-05-13
BranchID 0
CaregiverCode 49064
CaregiverID 1633251
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1955-06-24
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name DOROTHY OSBOURNE
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName VIVENE
FirstWorkDate 2019-07-18
Gender Female
HireDate 2019-05-13
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials VH
Language1 2
Language2 0
Language3 0
Language4 0
LastName HOLMES
LastWorkDate 2025-02-25
LocationID 10048732
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 14:53:14.583
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email holmes60viv@gmail.com
MethodID 2
MobileOrSMS 914-564-8962
VoiceMessage [empty string]
OfficeID 11878
Other [empty string]
Payer Elderplan MJHS, Fidelis Care, SWHNY-MLTC, VNS Health Health Plans, VNS Health Home Care
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 844-73-8309
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 0
TerminatedDate 2025-07-03
TimeAndAttendancePIN 049064
TimeZone Eastern
43
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 347-207-7962
Phone2 646-542-5754
Phone3 [empty string]
State NY
Street1 2476 HUGHES AVENUE #3G
Street2 [empty string]
Zip4 [empty string]
Zip5 10458
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2022-12-29
BranchID 0
CaregiverCode 53299
CaregiverID 3496074
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth dr
DateofBirth 1967-04-13
Dependents 2
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name JUAN
Phone1 718-570-7595
Phone2 [empty string]
RelationshipID 409579
RelationshipName Son
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ANGELA
FirstWorkDate 2023-01-02
Gender Female
HireDate 2022-12-30
I9ABDocumentID 1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials AM
Language1 1
Language2 0
Language3 0
Language4 0
LastName MEJIA
LastWorkDate 2025-02-25
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 14:54:28.350
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email angelamejia916@gmail.com
MethodID 2
MobileOrSMS 347-207-7962
VoiceMessage 347-207-7962
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10109409
RegistryDate 2022-12-30
Registrynumber 56015
Rehire No
RehireDate [empty string]
SSN 090-82-2297
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 053299
TimeZone Eastern
44
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-275-9825
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 776 NORTH OAK DRIVE APT 3
Street2 [empty string]
Zip4 [empty string]
Zip5 10467
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-10-21
BranchID 0
CaregiverCode 57936
CaregiverID 4270537
CaregiverMobileID 5077768
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1993-10-30
Dependents 2
EmergencyContact1
CaregiverChangesV2Details - struct
Address 776 NORTH OAK DRIVE, BRONX, NY 10467
Name JOHANNA TEJADA DE ROQUE
Phone1 929-677-0207
Phone2 [empty string]
RelationshipID 411487
RelationshipName Wife
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName VICTOR
FirstWorkDate 2024-12-29
Gender Male
HireDate 2024-12-20
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials VR
Language1 1
Language2 0
Language3 0
Language4 0
LastName ROQUE MARTINEZ
LastWorkDate 2025-02-25
LocationID 10048700
MaritalStatus M
MiddleName RAFAEL
ModifiedDate 2025-07-07 14:55:19.453
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email VICTORROQUE201330@GMAIL.COM
MethodID 2
MobileOrSMS 929-275-9825
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Girling Health Care Of New York, Healthfirst, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate 2024-10-21
Registrynumber 01191801
Rehire No
RehireDate [empty string]
SSN 886-88-7690
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057936
TimeZone Eastern
45
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City WATERBURY
HomePhone 347-987-8586
Phone2 [empty string]
Phone3 [empty string]
State CT
Street1 672 WILSON STEET #2ND FLOOR
Street2 [empty string]
Zip4 [empty string]
Zip5 06708
AgencyID 337
AlternateCaregiverCode 598704200
ApplicationDate 2020-09-08
BranchID 0
CaregiverCode 44102
CaregiverID 684976
CaregiverMobileID 4825233
CaregiverMobileIDType Non-Clinical
CountryOfBirth DR
DateofBirth 1981-07-22
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name ESTARLIN TORIBIO
Phone1 347-517-2956
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate 2016-05-25
Gender Female
HireDate 2016-04-14
I9ABDocumentID 1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MT
Language1 1
Language2 0
Language3 0
Language4 0
LastName TORIBIO POLANCO
LastWorkDate 2025-02-25
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 14:56:23.760
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MAYITOROBIO22@GMAIL.COM
MethodID 2
MobileOrSMS 347-987-8586
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE), Elderplan MJHS, Fidelis Care, Healthfirst, Molina Health New York, NYC Health and Hospital, VNS Health Health Plans
ProfessionalLicensenumber 561564
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber [empty string]
Rehire Yes
RehireDate 2023-12-27
SSN 598-70-4200
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 044102
TimeZone Eastern
46
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-984-1552
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 544 LINDEN BLVD
Street2 [empty string]
Zip4 [empty string]
Zip5 11203
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-08-12
BranchID 0
CaregiverCode 56896
CaregiverID 4131615
CaregiverMobileID 4942597
CaregiverMobileIDType Non-Clinical
CountryOfBirth GUAYANA
DateofBirth 1963-10-25
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name TONYA BUMBURY
Phone1 347-984-1047
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName EILEEN
FirstWorkDate 2024-10-30
Gender Female
HireDate 2024-08-28
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials EB
Language1 2
Language2 0
Language3 0
Language4 0
LastName BUMBURY
LastWorkDate 2025-03-01
LocationID 10048700
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-07 14:57:44.667
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email eileenbumbury@gmail.com
MethodID 2
MobileOrSMS 347-984-1552
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE)
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10116586
RegistryDate [empty string]
Registrynumber 479981
Rehire No
RehireDate [empty string]
SSN 362-71-0178
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056896
TimeZone Eastern
47
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 917-892-6055
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1546 W 11TH ST #48
Street2 [empty string]
Zip4 [empty string]
Zip5 11204
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-09-13
BranchID 0
CaregiverCode 57248
CaregiverID 4173207
CaregiverMobileID 4937776
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOM. REP.
DateofBirth 1988-03-05
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name ALBA MORALES
Phone1 347-481-9117
Phone2 [empty string]
RelationshipID 409583
RelationshipName Niece
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ANA M
FirstWorkDate 2024-10-23
Gender Female
HireDate 2024-09-27
I9ABDocumentID -1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified N
Initials AS
Language1 1
Language2 0
Language3 0
Language4 0
LastName SANTOS PAULINO
LastWorkDate 2025-03-05
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 15:52:43.620
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email SANTOSPAULINOANAMERCEDES@GMAIL.COM
MethodID 2
MobileOrSMS 917-892-6055
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED/ VICTORIA
ReferralSourceID 10110783
RegistryDate 2024-09-13
Registrynumber 1140296
Rehire No
RehireDate [empty string]
SSN 889-86-8589
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057248
TimeZone Eastern
48
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-632-5390
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 135 W 175 ST APT#2E
Street2 [empty string]
Zip4 [empty string]
Zip5 10453
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-09-13
BranchID 0
CaregiverCode 57646
CaregiverID 4226897
CaregiverMobileID 5055810
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1965-12-08
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 135 W 175 ST BRONX, NY 10453
Name MARIA CARRASCO
Phone1 347-705-9276
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate 2025-01-05
Gender Female
HireDate 2024-12-18
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MC
Language1 1
Language2 0
Language3 0
Language4 0
LastName CORDERO PAREDES
LastWorkDate 2025-03-08
LocationID 10048700
MaritalStatus S
MiddleName ALTAGRACIA
ModifiedDate 2025-07-07 15:57:33.300
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ALTAGRACIACORD@GMAIL.COM
MethodID 2
MobileOrSMS 929-632-5390
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson WANDALIS PEREZ
ReferralSourceID 10110816
RegistryDate 2024-09-13
Registrynumber 1185511
Rehire No
RehireDate [empty string]
SSN 851-46-7907
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057646
TimeZone Eastern
49
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-662-2061
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1148 WHEELER AV APT 2F
Street2 [empty string]
Zip4 [empty string]
Zip5 10472
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-10-16
BranchID 0
CaregiverCode 57583
CaregiverID 4218403
CaregiverMobileID 5061031
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1966-09-08
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 1148 WHEELER AVE APT 2F
Name ROSSI GARCIA
Phone1 [empty string]
Phone2 929-290-5348
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName NILY
FirstWorkDate 2024-11-08
Gender Female
HireDate 2024-11-06
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials NT
Language1 1
Language2 0
Language3 0
Language4 0
LastName TOUSSAINT HERNANDEZ
LastWorkDate 2025-03-09
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 15:59:49.923
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email NILY0824@GMAIL.COM
MethodID 2
MobileOrSMS 929-662-2061
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst, Molina Health New York
ProfessionalLicensenumber [empty string]
ReferralPerson ISMAIRA RIVERS
ReferralSourceID 10110816
RegistryDate 2024-10-16
Registrynumber 1192429
Rehire No
RehireDate [empty string]
SSN 831-43-0299
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057583
TimeZone Eastern
50
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 718-924-6740
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 815 PENFIELD ST #2R
Street2 [empty string]
Zip4 [empty string]
Zip5 10470
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-01-23
BranchID 0
CaregiverCode 55327
CaregiverID 3943581
CaregiverMobileID 4894361
CaregiverMobileIDType Non-Clinical
CountryOfBirth JAMAICA
DateofBirth 1978-10-04
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 815 PENIFIELD ST
Name HUSBAND
Phone1 347-952-0707
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName KEISHA
FirstWorkDate 2024-05-15
Gender Female
HireDate 2024-04-19
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2028-11-26
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials KP
Language1 2
Language2 0
Language3 0
Language4 0
LastName PEART POWELL
LastWorkDate 2025-03-10
LocationID 10048700
MaritalStatus M
MiddleName ANN MARIE
ModifiedDate 2025-07-07 16:00:43.310
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 718-924-6740
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE), Healthfirst, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED-HYPE-PARK DAWN.B
ReferralSourceID 10098470
RegistryDate 2024-01-23
Registrynumber 683492
Rehire No
RehireDate [empty string]
SSN 767-68-2553
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 055327
TimeZone Eastern
51
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-853-3221
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 3104 NEWKIRK AVE, # 1G
Street2 [empty string]
Zip4 [empty string]
Zip5 11210
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-26
BranchID 0
CaregiverCode 56496
CaregiverID 4105151
CaregiverMobileID 4358963
CaregiverMobileIDType Non-Clinical
CountryOfBirth TRINIDAD
DateofBirth 1960-03-18
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 3104 NEWKIRK AVE APT 1G
Name DEVON JOHN
Phone1 [empty string]
Phone2 347-834-4484
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName SANDRA
FirstWorkDate 2024-11-02
Gender Female
HireDate 2024-09-03
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials SJ
Language1 2
Language2 0
Language3 0
Language4 0
LastName JOHN
LastWorkDate 2025-03-16
LocationID 10048700
MaritalStatus [empty string]
MiddleName B
ModifiedDate 2025-07-07 16:01:55.700
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email SANDYBJ619@GMAIL.COM
MethodID 2
MobileOrSMS 347-853-3221
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer CenterLight HealthCare (PACE)
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10116586
RegistryDate [empty string]
Registrynumber 505922
Rehire No
RehireDate [empty string]
SSN 102-80-4150
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056496
TimeZone Eastern
52
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City RICHMOND HILL
HomePhone 929-742-0270
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 87-71 115 ST
Street2 [empty string]
Zip4 [empty string]
Zip5 11418
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-01
BranchID 0
CaregiverCode 57482
CaregiverID 4212872
CaregiverMobileID 5077541
CaregiverMobileIDType Non-Clinical
CountryOfBirth PAKISTAN
DateofBirth 1967-07-20
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 87-71 115 ST QUEENS NY
Name HAROON Y ROBERT
Phone1 [empty string]
Phone2 802-558-9873
RelationshipID 409579
RelationshipName Son
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Indian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ASMAT
FirstWorkDate 2024-12-09
Gender Female
HireDate 2024-12-04
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-02-19
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials AR
Language1 2
Language2 0
Language3 0
Language4 0
LastName ROBERT
LastWorkDate 2025-03-17
LocationID 10048700
MaritalStatus [empty string]
MiddleName Y
ModifiedDate 2025-07-07 16:02:51.143
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email YOUELROBERT@YAHOO.COM
MethodID 2
MobileOrSMS 929-742-0270
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson TRAINEE
ReferralSourceID 10115599
RegistryDate 2024-12-03
Registrynumber 1217212
Rehire No
RehireDate [empty string]
SSN 812-91-1991
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057482
TimeZone Eastern
53
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City RICHMOND HILL
HomePhone 929-539-9623
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 10024 92ND AVE APT#2
Street2 [empty string]
Zip4 [empty string]
Zip5 11418
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-06-27
BranchID 0
CaregiverCode 56137
CaregiverID 4067545
CaregiverMobileID 4422619
CaregiverMobileIDType Non-Clinical
CountryOfBirth ECUADOR
DateofBirth 1955-10-28
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 10024 92ND AVE APT#2
Name CINDY LOPEZ
Phone1 [empty string]
Phone2 347-984-6444
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HSK
3 HMK
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ROSA
FirstWorkDate 2024-07-18
Gender Female
HireDate 2024-07-09
I9ABDocumentID 7
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials RP
Language1 1
Language2 0
Language3 0
Language4 0
LastName PINARGOTE BRAVO
LastWorkDate 2025-03-18
LocationID 10048700
MaritalStatus M
MiddleName M
ModifiedDate 2025-07-07 16:04:11.910
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email PINARGOTE40@HOTMAIL.COM
MethodID 2
MobileOrSMS 929-539-9623
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED (XIOMARA LOPEZ)
ReferralSourceID 10110816
RegistryDate 2024-06-27
Registrynumber 00776678
Rehire No
RehireDate [empty string]
SSN 731-16-1515
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056137
TimeZone Eastern
54
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 718-705-2825
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 2416 NEWKIRK AVE APT#4E
Street2 [empty string]
Zip4 [empty string]
Zip5 11226
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-08-14
BranchID 0
CaregiverCode 56770
CaregiverID 4125263
CaregiverMobileID 1657029
CaregiverMobileIDType Non-Clinical
CountryOfBirth [empty string]
DateofBirth 1977-08-05
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 2416 NEWKIRK AVE BROOKLYN
Name JUNIOR MENTOR
Phone1 917-530-3032
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MIRLANDE
FirstWorkDate 2024-09-24
Gender Female
HireDate 2024-09-19
I9ABDocumentID 1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MT
Language1 2
Language2 0
Language3 0
Language4 0
LastName TOUSSAINT
LastWorkDate 2025-03-28
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-07 16:05:16.440
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email TOUSSANTMERLANDE6@GMAIL.COM
MethodID 2
MobileOrSMS 718-705-2825
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Centerlight CHHA / Cassena Care At Home, CenterLight HealthCare (PACE), Fidelis Care, Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10116586
RegistryDate [empty string]
Registrynumber 224486
Rehire No
RehireDate [empty string]
SSN 057-02-8280
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056770
TimeZone Eastern
55
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City MIDDLE VILLAGE
HomePhone 917-406-8930
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 6215 69TH ST
Street2 [empty string]
Zip4 [empty string]
Zip5 11379
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-05-15
BranchID 0
CaregiverCode 53795
CaregiverID 3629433
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth Uzbekistan
DateofBirth 1959-01-14
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name ASHOT
Phone1 917-406-8930
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName NINA
FirstWorkDate 2023-05-28
Gender Female
HireDate 2023-05-23
I9ABDocumentID 1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials NP
Language1 7
Language2 2
Language3 0
Language4 0
LastName PASHENKO
LastWorkDate 2025-03-31
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 16:07:04.893
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email NINA0114@gmail.com
MethodID 2
MobileOrSMS 917-406-8930
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110773
RegistryDate 2023-05-15
Registrynumber 392847
Rehire No
RehireDate [empty string]
SSN 128-82-6212
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 053795
TimeZone Eastern
56
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City VALLEY STREAM
HomePhone 917-442-5509
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 128 ROCKAWAY PKWY APT#2
Street2 [empty string]
Zip4 [empty string]
Zip5 11580
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-02-25
BranchID 0
CaregiverCode 58626
CaregiverID 4360745
CaregiverMobileID 4576671
CaregiverMobileIDType Non-Clinical
CountryOfBirth UGANDA,KAMPALA
DateofBirth 1983-04-16
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 128 ROCKAWAY PKWY VALLEY STREAM NY
Name PEACE MUTIIBWA
Phone1 [empty string]
Phone2 516-637-6986
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PCA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate 2025-04-21
Gender Female
HireDate 2025-03-04
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2025-06-19
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MK
Language1 2
Language2 0
Language3 0
Language4 0
LastName KIGONGO
LastWorkDate 2025-04-21
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 16:09:36.643
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email KIGONGOMARIA296@GMAIL.COM
MethodID 2
MobileOrSMS 347-442-5509
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Fidelis Care
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110783
RegistryDate 2025-02-25
Registrynumber 01022626
Rehire No
RehireDate [empty string]
SSN 712-21-6268
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058626
TimeZone Eastern
57
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 929-584-5372
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 501 SURF AVE #8N
Street2 [empty string]
Zip4 [empty string]
Zip5 11224
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-12-14
BranchID 0
CaregiverCode 54832
CaregiverID 3862313
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth UKRAINE
DateofBirth 1970-03-12
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name ELENA MOSHCHINSKY
Phone1 917-297-3898
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName YULIIA
FirstWorkDate 2024-01-02
Gender Female
HireDate 2023-12-20
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2026-10-11
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials YK
Language1 7
Language2 0
Language3 0
Language4 0
LastName KUZMENKO
LastWorkDate 2025-04-03
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 16:10:47.983
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email YULIIAKUZMENCO5@GMAIL.COM
MethodID 2
MobileOrSMS 929-584-5372
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110773
RegistryDate 2023-12-14
Registrynumber 1020633
Rehire No
RehireDate [empty string]
SSN 736-29-7355
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-07-03
TimeAndAttendancePIN 054832
TimeZone Eastern
58
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-736-5516
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 2800 HEATH AVE
Street2 APT 5J
Zip4 [empty string]
Zip5 10463
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-08-19
BranchID 0
CaregiverCode 57689
CaregiverID 4231318
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1999-02-10
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 238 W 238TH ST
Name FIORDALISA MORETA
Phone1 718-347-1885
Phone2 [empty string]
RelationshipID 423901
RelationshipName Aunt
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ROSELY
FirstWorkDate [empty string]
Gender Female
HireDate 2025-03-03
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials RD
Language1 1
Language2 0
Language3 0
Language4 0
LastName DURAN MORETA
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 16:15:05.680
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ROSELYDOY@GMAIL.COM
MethodID 2
MobileOrSMS 929-736-5516
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson WANDALIS PEREZ
ReferralSourceID 10110816
RegistryDate 2024-08-19
Registrynumber 1166317
Rehire No
RehireDate [empty string]
SSN 759-73-0096
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057689
TimeZone Eastern
59
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 646-530-3714
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 2357 WALTON AVE APT#3G
Street2 [empty string]
Zip4 [empty string]
Zip5 10468
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-01-30
BranchID 0
CaregiverCode 58381
CaregiverID 4331874
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1990-02-10
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name JOSE MENDOZA
Phone1 929-575-0191
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JEANNY
FirstWorkDate [empty string]
Gender Female
HireDate 2025-03-06
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JG
Language1 1
Language2 0
Language3 0
Language4 0
LastName GUTIERREZ DE MENDONZA
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus M
MiddleName SONLANYI
ModifiedDate 2025-07-07 16:17:18.403
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email SOLYGM9010@GMAIL.COM
MethodID 2
MobileOrSMS 646-530-3714
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson WAndalis
ReferralSourceID 10110816
RegistryDate [empty string]
Registrynumber 1224502
Rehire No
RehireDate [empty string]
SSN 286-69-4826
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058381
TimeZone Eastern
60
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 929-551-6513
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 103 PILLING ST
Street2 APT #1
Zip4 [empty string]
Zip5 11207
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-02-10
BranchID 0
CaregiverCode 58386
CaregiverID 4332087
CaregiverMobileID 5142296
CaregiverMobileIDType Non-Clinical
CountryOfBirth MEXICO
DateofBirth 1985-06-09
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name MARK JEGER
Phone1 718-399-9425
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JOSE
FirstWorkDate [empty string]
Gender Male
HireDate 2025-03-03
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-10-07
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JH
Language1 1
Language2 0
Language3 0
Language4 0
LastName HERNANDEZ MIJANGOS
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus M
MiddleName ANTONIO
ModifiedDate 2025-07-07 16:27:25.313
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ANTONIO.HMIJANGOS@GMAIL.COM
MethodID 2
MobileOrSMS 929-551-6513
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate [empty string]
Registrynumber 1257163
Rehire No
RehireDate [empty string]
SSN 844-37-6851
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058386
TimeZone Eastern
61
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 347-948-5599
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 642 E 176TH ST APT 2
Street2 [empty string]
Zip4 [empty string]
Zip5 10457
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-02-25
BranchID 10096393
CaregiverCode 58584
CaregiverID 4355500
CaregiverMobileID 1217763
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICANA REPUBLIC
DateofBirth 1991-03-15
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MELISA
FirstWorkDate [empty string]
Gender Female
HireDate 2025-03-04
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MM
Language1 1
Language2 0
Language3 0
Language4 0
LastName MUNOZ DE FERNANDEZ
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 16:28:12.937
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 347-948-5599
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson SQUANIA MENTON
ReferralSourceID 10098470
RegistryDate 2025-02-25
Registrynumber 737235
Rehire No
RehireDate [empty string]
SSN 066-41-9120
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058584
TimeZone Eastern
62
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 929-979-3043
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 54 RICHMOND STREET APT#2
Street2 [empty string]
Zip4 [empty string]
Zip5 11208
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-31
BranchID 0
CaregiverCode 58410
CaregiverID 4334474
CaregiverMobileID 4639264
CaregiverMobileIDType Non-Clinical
CountryOfBirth ECUADOR
DateofBirth 1968-01-22
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address 54 RICHMOND STREET
Name JOSE MARCIAS
Phone1 [empty string]
Phone2 929-417-4646
RelationshipID 409579
RelationshipName Son
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ZOILA
FirstWorkDate [empty string]
Gender Female
HireDate 2025-03-04
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials ZI
Language1 1
Language2 0
Language3 0
Language4 0
LastName INTRIAGO ROMERO
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus M
MiddleName AURORA
ModifiedDate 2025-07-07 16:28:53.563
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ZETITAINTRIAGO@GMAIL.COM
MethodID 3
MobileOrSMS 929-979-3043
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Girling Health Care Of New York
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED(CASTULA KING MEDINA)
ReferralSourceID 10110816
RegistryDate 2025-03-04
Registrynumber 01040433
Rehire No
RehireDate [empty string]
SSN 203-75-5789
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058410
TimeZone Eastern
63
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City JAMAICA
HomePhone 862-306-3821
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 17610 JAMAICA AVE APT#3
Street2 [empty string]
Zip4 [empty string]
Zip5 11432
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-01-27
BranchID 0
CaregiverCode 58309
CaregiverID 4321843
CaregiverMobileID 5121229
CaregiverMobileIDType Non-Clinical
CountryOfBirth ECUADOR
DateofBirth 1976-12-28
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 176-10 JAMAICA AVE.
Name LUISA GARCIA
Phone1 [empty string]
Phone2 347-942-6976
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate [empty string]
Gender Female
HireDate 2025-03-04
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2028-11-14
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MP
Language1 1
Language2 0
Language3 0
Language4 0
LastName PADILLA TONATO
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName ROSEANGEL GOMEZ
ModifiedDate 2025-07-07 16:29:49.390
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MARIAPT096@GMAIL.COM
MethodID 2
MobileOrSMS 862-306-3821
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED ( MIGDALIA PEREZ)
ReferralSourceID 10110783
RegistryDate 2025-01-27
Registrynumber 01217823
Rehire No
RehireDate [empty string]
SSN 533-97-1600
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10377885
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058309
TimeZone Eastern
64
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City JAMAICA
HomePhone 347-605-9162
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 8934 162ND ST APT 302
Street2 [empty string]
Zip4 [empty string]
Zip5 11432
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-01-09
BranchID 0
CaregiverCode 58858
CaregiverID 4389185
CaregiverMobileID [empty string]
CaregiverMobileIDType Non-Clinical
CountryOfBirth VENEZUELA
DateofBirth 1987-05-28
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name JORGE ARAQUE
Phone1 929-204-3132
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName NARBYS
FirstWorkDate [empty string]
Gender Female
HireDate 2025-03-24
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-03-07
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials NR
Language1 1
Language2 0
Language3 0
Language4 0
LastName ROJAS
LastWorkDate [empty string]
LocationID 10048750
MaritalStatus M
MiddleName MAIBELYN
ModifiedDate 2025-07-07 16:31:39.223
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email NARBYSMROJAS@GMAIL.COM
MethodID 2
MobileOrSMS 347-605-9162
VoiceMessage [empty string]
OfficeID 1282
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115612
RegistryDate [empty string]
Registrynumber 1155847
Rehire No
RehireDate [empty string]
SSN 794-44-8796
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10379825
TerminatedDate 2025-07-03
TimeAndAttendancePIN 058858
TimeZone Eastern
65
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-259-9835
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 4909 FORT HAMILTON PKWY APT 6
Street2 [empty string]
Zip4 [empty string]
Zip5 11219
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-12-04
BranchID 10096402
CaregiverCode 58290
CaregiverID 4320316
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth POLAND
DateofBirth 1970-03-10
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 4909 FORT HAMILTON PKWY APT 6
Name MACIEJ ZAGULA
Phone1 347-938-2192
Phone2 [empty string]
RelationshipID 409579
RelationshipName Son
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName RENATA
FirstWorkDate [empty string]
Gender Female
HireDate 2025-02-05
I9ABDocumentID 1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials RZ
Language1 13
Language2 7
Language3 0
Language4 0
LastName ZAGULA
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-07 16:59:40.863
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ZAGULARENATA@GMAIL.COM
MethodID 2
MobileOrSMS 347-259-9835
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110773
RegistryDate 2025-02-05
Registrynumber 195909
Rehire No
RehireDate [empty string]
SSN 104-82-2573
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Client will NOT transfer as per Vitalina
StatusReason 1865148
TeamID 10377875
TerminatedDate 2025-04-29
TimeAndAttendancePIN 058290
TimeZone Eastern
66
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City NEW ROCHELLE
HomePhone 914-316-4657
Phone2 914-304-6657
Phone3 [empty string]
State NY
Street1 126 LOCUST AVE APT 1
Street2 [empty string]
Zip4 [empty string]
Zip5 10805
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-06-09
BranchID 10096393
CaregiverCode 59581
CaregiverID 4703269
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth COLOMBIA
DateofBirth 1968-05-08
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 126 LOCUST AVE APT 1
Name YULI LONDONO
Phone1 914-316-4657
Phone2 [empty string]
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType A
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JANETH
FirstWorkDate [empty string]
Gender Female
HireDate [empty string]
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JG
Language1 1
Language2 0
Language3 0
Language4 0
LastName GUERRERO NUNEZ
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-08 11:22:09.743
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email KAREN.VELASCO6@ICLOUD.COM
MethodID 2
MobileOrSMS 914-316-4657
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate 2025-06-09
Registrynumber 1330609
Rehire No
RehireDate [empty string]
SSN 657-50-3214
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Rejected
StatusNote UNABLE TO REACH TO SCHEDULE FINGERPRINTS. CALLED ON 06/18, 06/19, 06/23, 06/30 AND 07/08/25 LEFT VM TO CALL BACK AND SHE HAS NOT RETURNED CALLS.
StatusReason 0
TeamID 10379812
TerminatedDate 2025-07-08
TimeAndAttendancePIN 059581
TimeZone Eastern
67
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-645-9713
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 526 E 138TH ST #28
Street2 [empty string]
Zip4 [empty string]
Zip5 10454
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-06-12
BranchID 10096393
CaregiverCode 59585
CaregiverID 4703295
CaregiverMobileID [empty string]
CaregiverMobileIDType Non-Clinical
CountryOfBirth HONDURAS
DateofBirth 1971-11-02
Dependents 2
EmergencyContact1
CaregiverChangesV2Details - struct
Address 526 E 138TH ST #28
Name ELIZABETH CRUZ
Phone1 929-374-9087
Phone2 [empty string]
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType A
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName SANTOS
FirstWorkDate [empty string]
Gender Female
HireDate [empty string]
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2025-07-05
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials SA
Language1 1
Language2 0
Language3 0
Language4 0
LastName AYALA
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-08 11:24:59.213
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 929-645-9713
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate 2025-06-12
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 122-88-4841
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Rejected
StatusNote [empty string]
StatusReason 0
TeamID 10379812
TerminatedDate 2025-07-08
TimeAndAttendancePIN 059585
TimeZone Eastern
68
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City LONG ISLAND CITY
HomePhone 347-461-1028
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 4115 12TH STREET APT#1A
Street2 [empty string]
Zip4 [empty string]
Zip5 11101
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-11
BranchID 0
CaregiverCode 56555
CaregiverID 4109129
CaregiverMobileID 1147764
CaregiverMobileIDType Non-Clinical
CountryOfBirth U.S.A.
DateofBirth 1993-01-25
Dependents 3
EmergencyContact1
CaregiverChangesV2Details - struct
Address 160 BEACH 60TH STREET 1ST FLOOR FAR ROCKAWAY N.Y.
Name SHANICE SEALE
Phone1 [empty string]
Phone2 516-233-0372
RelationshipID 409581
RelationshipName Sister
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HSK
3 HMK
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName SHENIQUE
FirstWorkDate 2024-08-06
Gender Female
HireDate 2024-08-05
I9ABDocumentID 7
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials SS
Language1 2
Language2 0
Language3 0
Language4 0
LastName SEALE
LastWorkDate 2024-08-19
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-08 11:58:27.293
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email SHENIQUES93@GMAIL.COM
MethodID 2
MobileOrSMS 347-461-1028
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Fidelis Care, RiverSpring Health Plans, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10111477
RegistryDate 2024-08-05
Registrynumber 0364517
Rehire No
RehireDate [empty string]
SSN 130-80-3470
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2024-12-18
TimeAndAttendancePIN 056555
TimeZone Eastern
69
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City JAMAICA
HomePhone 917-808-7884
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 148-48 88TH AVE APT#1H
Street2 [empty string]
Zip4 [empty string]
Zip5 11435
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-08-04
BranchID 0
CaregiverCode 54313
CaregiverID 3737641
CaregiverMobileID 4786142
CaregiverMobileIDType Non-Clinical
CountryOfBirth SANTO dOMINGO
DateofBirth 1973-07-29
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name MADELIN GOMEZ
Phone1 [empty string]
Phone2 201-249-0936
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName YOLANDA
FirstWorkDate [empty string]
Gender Female
HireDate 2023-10-26
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials YT
Language1 1
Language2 0
Language3 0
Language4 0
LastName TAVAREZ DE LIZ
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus M
MiddleName DEL CARMEN
ModifiedDate 2025-07-08 12:20:11.750
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email DELIZTAVAREZYOLANDA290773@GMAIL.COM
MethodID 2
MobileOrSMS 917-808-7884
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10098470
RegistryDate 2023-10-26
Registrynumber 00983637
Rehire No
RehireDate [empty string]
SSN 880-20-7149
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Verbal Resignation
StatusReason 1865148
TeamID 10377885
TerminatedDate 2024-03-27
TimeAndAttendancePIN 054313
TimeZone Eastern
70
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City SAINT ALBANS
HomePhone 347-235-2621
Phone2 347-235-2621
Phone3 [empty string]
State NY
Street1 189-29 MANGIN AVE
Street2 [empty string]
Zip4 [empty string]
Zip5 11412
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-06-13
BranchID 0
CaregiverCode 54061
CaregiverID 3688110
CaregiverMobileID 4692139
CaregiverMobileIDType Non-Clinical
CountryOfBirth USA
DateofBirth 1998-02-26
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 189-29 MANGIN AVE SAINT ALBANS NY 11412
Name LINDA WONG
Phone1 [empty string]
Phone2 347-761-5954
RelationshipID 423914
RelationshipName Mother
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PCA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JORDAN
FirstWorkDate 2023-07-22
Gender Male
HireDate 2023-07-20
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JW
Language1 2
Language2 0
Language3 0
Language4 0
LastName WONG HEYWARD
LastWorkDate 2024-04-19
LocationID 10048700
MaritalStatus S
MiddleName D'IOR
ModifiedDate 2025-07-08 12:39:21.693
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email JORDANWONGHEYWARD26@GMAIL.COM
MethodID 2
MobileOrSMS 347-235-2621
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer RiverSpring Health Plans, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson TRAINEE
ReferralSourceID 10097385
RegistryDate 2023-07-20
Registrynumber 1057178
Rehire No
RehireDate [empty string]
SSN 134-86-9556
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2024-09-10
TimeAndAttendancePIN 054061
TimeZone Eastern
71
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City RICHMOND HILL
HomePhone 347-538-8012
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 8750 108TH STREET APT#1
Street2 [empty string]
Zip4 [empty string]
Zip5 11418
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-06-30
BranchID 0
CaregiverCode 54016
CaregiverID 3676719
CaregiverMobileID 4374089
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1988-03-27
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address 8750 108TH ST
Name DANISHA
Phone1 [empty string]
Phone2 347-984-2857
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate [empty string]
Gender Female
HireDate 2023-07-20
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MM
Language1 1
Language2 0
Language3 0
Language4 0
LastName MENA DE NUNEZ
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-08 12:53:19.667
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MARIAMENA00@ICLOUD.COM
MethodID 2
MobileOrSMS 347-922-6698
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110398
RegistryDate 2023-07-20
Registrynumber 00732779
Rehire No
RehireDate [empty string]
SSN 870-79-9847
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote NEVER WORKED
StatusReason 1865148
TeamID 10377885
TerminatedDate 2023-12-13
TimeAndAttendancePIN 054016
TimeZone Eastern
72
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONSON
HomePhone 347-792-5922
Phone2 [empty string]
Phone3 [empty string]
State FL
Street1 9430 North East 67th St
Street2 [empty string]
Zip4 [empty string]
Zip5 32621
AgencyID 337
AlternateCaregiverCode 131909806
ApplicationDate 2022-01-01
BranchID 0
CaregiverCode 51753
CaregiverID 2939024
CaregiverMobileID 4993801
CaregiverMobileIDType Non-Clinical
CountryOfBirth [empty string]
DateofBirth 1944-02-06
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name DEVON STERLING
Phone1 929-434-5578
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName THERESA
FirstWorkDate 2022-02-26
Gender Female
HireDate 2022-01-01
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials TS
Language1 2
Language2 0
Language3 0
Language4 0
LastName SMITH
LastWorkDate 2025-07-05
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-08 15:07:30.080
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email SteveRay@aol.com
MethodID 2
MobileOrSMS 347-792-5922
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, Excellent Home Care Services, Fidelis Care, Girling Health Care Of New York, Healthfirst, RiverSpring Health Plans, SWHNY-MLTC, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID -1
RegistryDate [empty string]
Registrynumber 150506
Rehire No
RehireDate [empty string]
SSN 131-90-9806
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Resignation
StatusReason 2209722
TeamID 0
TerminatedDate 2025-07-07
TimeAndAttendancePIN 900130
TimeZone Eastern
73
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City RIDGEWOOD
HomePhone 347-245-0458
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1740 MENAHAN ST #2
Street2 [empty string]
Zip4 [empty string]
Zip5 11385
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-04-04
BranchID 0
CaregiverCode 58994
CaregiverID 4410832
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth ECUADOR
DateofBirth 1988-02-04
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name RAUL MEJIA
Phone1 917-322-1692
Phone2 [empty string]
RelationshipID 423902
RelationshipName Boyfriend
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType A
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PCA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName ALICIA
FirstWorkDate [empty string]
Gender Female
HireDate [empty string]
I9ABDocumentID -1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified N
Initials AS
Language1 1
Language2 0
Language3 0
Language4 0
LastName SANCHEZ PAREDES
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus M
MiddleName DAYANA
ModifiedDate 2025-07-09 11:08:36.750
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ALICIA040289SANCHEZ@GMAIL.COM
MethodID 2
MobileOrSMS 347-245-0458
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10110783
RegistryDate 2025-04-04
Registrynumber 1090895
Rehire No
RehireDate [empty string]
SSN 099-65-3718
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Rejected
StatusNote THIS AIDE HAS MISSED 4 NEW HIRE CLASS/ORIENTATIONS IN A ROW. REJECTING AS SHE HAS ANOTHER JOB AND CANNOT COME AT THE MOMENT.
StatusReason 0
TeamID 10379812
TerminatedDate 2025-07-09
TimeAndAttendancePIN 058994
TimeZone Eastern
74
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 929-722-4205
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1744 E 18TH FL #1
Street2 [empty string]
Zip4 [empty string]
Zip5 11229
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-01-25
BranchID 0
CaregiverCode 58308
CaregiverID 4321832
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1977-03-09
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name RADJABOVA MR
Phone1 929-722-7708
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName DILAFRUZ
FirstWorkDate [empty string]
Gender Female
HireDate 2025-02-11
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials DR
Language1 2
Language2 7
Language3 0
Language4 0
LastName RADJABOVA
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-10 09:53:25.827
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 929-722-4205
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110783
RegistryDate [empty string]
Registrynumber 921406
Rehire No
RehireDate [empty string]
SSN 207-25-9695
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377875
TerminatedDate 2025-06-19
TimeAndAttendancePIN 058308
TimeZone Eastern
75
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City RICHMOND HILL
HomePhone 929-422-9761
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 9134 lefferts Blvd
Street2 [empty string]
Zip4 [empty string]
Zip5 11418
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-05-07
BranchID 0
CaregiverCode 55801
CaregiverID 4013877
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1982-08-02
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Unknown
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName LAKIM
FirstWorkDate [empty string]
Gender Male
HireDate 2024-05-16
I9ABDocumentID 7
I9CDocumentID 6
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified N
Initials LL
Language1 2
Language2 0
Language3 0
Language4 0
LastName LUSTER
LastWorkDate [empty string]
LocationID 10048707
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-10 12:06:09.460
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email lakimlustee@yahoo.com
MethodID 2
MobileOrSMS 929-422-9761
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 102-66-0032
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10379816
TerminatedDate 2025-07-10
TimeAndAttendancePIN 055801
TimeZone Eastern
76
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-543-0764
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1177 E. 98TH ST APT#4H
Street2 [empty string]
Zip4 [empty string]
Zip5 11236
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-06-01
BranchID 0
CaregiverCode 53965
CaregiverID 3668271
CaregiverMobileID 4610596
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1998-11-03
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name MELISSA
Phone1 [empty string]
Phone2 347-707-8519
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address 1177 E. 98TH BROOKLYN, N.Y. 11236
Name EDWIN HERNADEZ
Phone1 [empty string]
Phone2 347-502-8587
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName NICAURY
FirstWorkDate 2023-10-06
Gender Female
HireDate 2023-10-05
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials NG
Language1 1
Language2 2
Language3 0
Language4 0
LastName GIL
LastWorkDate 2023-10-26
LocationID 10048700
MaritalStatus S
MiddleName E.
ModifiedDate 2025-07-10 14:47:28.097
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ELIZABETHGIL0320@GMAIL.COM
MethodID 2
MobileOrSMS 347-543-0764
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110783
RegistryDate 2023-10-05
Registrynumber 00927552
Rehire No
RehireDate [empty string]
SSN 810-41-7623
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2024-01-16
TimeAndAttendancePIN 053965
TimeZone Eastern
77
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City WOODSIDE
HomePhone 516-530-5514
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 45-16 49TH ST APT #5A
Street2 [empty string]
Zip4 [empty string]
Zip5 11377
AgencyID 337
AlternateCaregiverCode 087621738
ApplicationDate 2016-10-28
BranchID 0
CaregiverCode 44772
CaregiverID 902927
CaregiverMobileID 1597680
CaregiverMobileIDType Non-Clinical
CountryOfBirth USA
DateofBirth 1971-05-29
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name NICOLE TAYLOR
Phone1 [empty string]
Phone2 347-248-9560
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address LONG ISLAND
Name JADE ELLISON
Phone1 [empty string]
Phone2 917-319-5512
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName SHARESE
FirstWorkDate 2023-10-27
Gender Female
HireDate 2017-04-17
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials ST
Language1 0
Language2 0
Language3 0
Language4 0
LastName TAYLOR
LastWorkDate 2023-10-30
LocationID 10048700
MaritalStatus S
MiddleName A
ModifiedDate 2025-07-10 15:21:53.613
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email TAYLORSHARERE529@YAHOO.COM
MethodID 2
MobileOrSMS 516-530-5514
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Healthfirst
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10110388
RegistryDate 2023-10-26
Registrynumber 00634035
Rehire Yes
RehireDate 2023-10-26
SSN 087-62-1738
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Aide never came to address pattern of No Show/No Call
StatusReason 1973611
TeamID 10377885
TerminatedDate 2024-06-24
TimeAndAttendancePIN 044772
TimeZone Eastern
78
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City JAMAICA
HomePhone 347-739-2539
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 147-16 97TH AVE APT#209
Street2 [empty string]
Zip4 [empty string]
Zip5 11435
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-05-28
BranchID 0
CaregiverCode 55991
CaregiverID 4034746
CaregiverMobileID 4935892
CaregiverMobileIDType Non-Clinical
CountryOfBirth VENEZUELA
DateofBirth 1989-12-10
Dependents 2
EmergencyContact1
CaregiverChangesV2Details - struct
Address 147-16 97TG AVE. JAMAICA,N.Y.
Name JUNIOR JESUS CASERES CHACON
Phone1 [empty string]
Phone2 929-928-5105
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName YUSEIRA
FirstWorkDate [empty string]
Gender Female
HireDate 2024-07-18
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2025-04-02
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials YR
Language1 1
Language2 0
Language3 0
Language4 0
LastName RODRIGUEZ TOVAR
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus M
MiddleName NAIDELIN
ModifiedDate 2025-07-10 15:24:54.073
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email YUSEIRARODRIGUEZ@GMAIL.COM
MethodID 2
MobileOrSMS 347-739-2539
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 10115599
RegistryDate 2024-07-18
Registrynumber 01134277
Rehire No
RehireDate [empty string]
SSN 759-24-6254
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1865148
TeamID 10377885
TerminatedDate 2024-12-16
TimeAndAttendancePIN 055991
TimeZone Eastern
79
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 646-510-1468
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 701 FENIMORE ST. APT#5C
Street2 [empty string]
Zip4 [empty string]
Zip5 11203
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2023-10-03
BranchID 0
CaregiverCode 54429
CaregiverID 3793086
CaregiverMobileID 4786100
CaregiverMobileIDType Non-Clinical
CountryOfBirth ST. VINCENT/GRENADINES
DateofBirth 1972-09-20
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 701 FENIMORE ST. APT#5C BROKLYN N.Y. 11203
Name JELISSA JOHNSON
Phone1 [empty string]
Phone2 347-387-8147
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PCA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName VALARIE
FirstWorkDate 2023-10-31
Gender Female
HireDate 2023-10-26
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials VJ
Language1 2
Language2 0
Language3 0
Language4 0
LastName JOHNSON
LastWorkDate 2024-06-14
LocationID 10048700
MaritalStatus S
MiddleName JOYCELYN
ModifiedDate 2025-07-10 17:09:59.510
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email JELISSAJ2003@GMAIL.COM
MethodID 2
MobileOrSMS 646-510-1468
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Elderplan MJHS, Fidelis Care
ProfessionalLicensenumber [empty string]
ReferralPerson CERIFIED
ReferralSourceID 10097425
RegistryDate 2023-10-26
Registrynumber 832122
Rehire No
RehireDate [empty string]
SSN 124-96-6970
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10377885
TerminatedDate 2024-11-07
TimeAndAttendancePIN 054429
TimeZone Eastern
80
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-425-4003
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 520 MORRIS PARK AVE APT 5B
Street2 [empty string]
Zip4 [empty string]
Zip5 10460
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-03-13
BranchID 10096402
CaregiverCode 59738
CaregiverID 4738439
CaregiverMobileID [empty string]
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBIC
DateofBirth 1989-10-09
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 20 MORRIS PARK, APT 5B BRONX, NY 10460
Name ROY WIGGINS
Phone1 718-791-1638
Phone2 [empty string]
RelationshipID 423913
RelationshipName Husband
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType A
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JENNIFER
FirstWorkDate [empty string]
Gender Female
HireDate [empty string]
I9ABDocumentID 0
I9CDocumentID 0
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified [empty string]
Initials JR
Language1 1
Language2 0
Language3 0
Language4 0
LastName RODRIGUEZ
LastWorkDate [empty string]
LocationID 10063842
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 09:42:13.343
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email jennyro121@yahoo.com
MethodID 2
MobileOrSMS [empty string]
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10098380
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 086-76-5081
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Rejected
StatusNote [empty string]
StatusReason 0
TeamID 10377875
TerminatedDate [empty string]
TimeAndAttendancePIN 059738
TimeZone Eastern
81
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-761-7065
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 535 NEPTUNE AVE 15E
Street2 [empty string]
Zip4 [empty string]
Zip5 11224
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-02-20
BranchID 0
CaregiverCode 58482
CaregiverID 4346601
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth RUSIA
DateofBirth 1954-10-14
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 2400 EAST 3 APT 706, BROOKLYN, NY 11224
Name ALEX
Phone1 646-436-0829
Phone2 [empty string]
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType A
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Caucasian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName IVAN
FirstWorkDate [empty string]
Gender Male
HireDate [empty string]
I9ABDocumentID 0
I9CDocumentID 0
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified [empty string]
Initials IP
Language1 0
Language2 0
Language3 0
Language4 0
LastName PLUZHNIK
LastWorkDate [empty string]
LocationID 10048707
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-11 09:48:35.830
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 347-761-7065
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 067-90-5170
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Rejected
StatusNote [empty string]
StatusReason 0
TeamID 10377879
TerminatedDate [empty string]
TimeAndAttendancePIN 058482
TimeZone Eastern
82
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City CORONA
HomePhone 929-625-6703
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 4744 98th PL APT # fl 2
Street2 [empty string]
Zip4 [empty string]
Zip5 11368
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-09-10
BranchID 0
CaregiverCode 58882
CaregiverID 4392701
CaregiverMobileID 5023702
CaregiverMobileIDType Non-Clinical
CountryOfBirth Ecuador
DateofBirth 1976-05-18
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name ROSA YAURI
Phone1 347-665-8484
Phone2 [empty string]
RelationshipID 423909
RelationshipName Family Member
RelationshipOther Family Member
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName GLORIA
FirstWorkDate 2025-04-05
Gender FEMALE
HireDate 2025-03-27
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2027-06-05
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials GY
Language1 1
Language2 0
Language3 0
Language4 0
LastName YAURI INGA
LastWorkDate 2025-04-12
LocationID 10048700
MaritalStatus S
MiddleName MARGARITA
ModifiedDate 2025-07-11 10:13:50.400
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 929-625-6703
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 0
RegistryDate 2024-09-06
Registrynumber 01177889
Rehire No
RehireDate [empty string]
SSN 727-65-7029
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Caregiver inactive for 90 days
StatusReason -1
TeamID 10379812
TerminatedDate 2025-07-11
TimeAndAttendancePIN 058882
TimeZone Eastern
83
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 929-451-5789
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 3535 KINGS COLLEGE PL # 1G
Street2 [empty string]
Zip4 [empty string]
Zip5 10467
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-25
BranchID 0
CaregiverCode 56447
CaregiverID 4102404
CaregiverMobileID 4518501
CaregiverMobileIDType Non-Clinical
CountryOfBirth NIGERIA
DateofBirth 1981-12-07
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name GLADYS HERBERT
Phone1 347-912-8341
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther Family
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName BLESSING
FirstWorkDate 2024-10-01
Gender FEMALE
HireDate 2024-08-28
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2026-02-10
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials BU
Language1 2
Language2 0
Language3 0
Language4 0
LastName UWAKWE
LastWorkDate 2025-04-10
LocationID 10048700
MaritalStatus [empty string]
MiddleName [empty string]
ModifiedDate 2025-07-11 10:24:57.980
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email OBBS2000@GMAIL.COM
MethodID 2
MobileOrSMS 929-451-5789
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED
ReferralSourceID 0
RegistryDate 2024-07-25
Registrynumber 1018230
Rehire No
RehireDate [empty string]
SSN 674-65-9608
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Caregiver inactive for 90 days
StatusReason -1
TeamID 10377875
TerminatedDate 2025-07-09
TimeAndAttendancePIN 056447
TimeZone Eastern
84
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 347-634-5580
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 581 TIMPSON PL #6B
Street2 [empty string]
Zip4 [empty string]
Zip5 10455
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-01-16
BranchID 0
CaregiverCode 58251
CaregiverID 4316430
CaregiverMobileID 5120076
CaregiverMobileIDType Non-Clinical
CountryOfBirth GHANA
DateofBirth 1989-11-15
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name CORA MINKS
Phone1 347-888-7746
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther Family
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName EDNA
FirstWorkDate 2025-04-05
Gender FEMALE
HireDate 2025-02-04
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials EA
Language1 2
Language2 0
Language3 0
Language4 0
LastName AMPOFO
LastWorkDate 2025-04-11
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 10:29:01.227
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email EDNAAMPOFO12@GMAIL.COM
MethodID 2
MobileOrSMS 347-634-5580
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 0
RegistryDate [empty string]
Registrynumber 1220590
Rehire No
RehireDate [empty string]
SSN 091-96-8557
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Caregiver inactive for 90 days
StatusReason -1
TeamID 10379812
TerminatedDate 2025-07-10
TimeAndAttendancePIN 058251
TimeZone Eastern
85
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 718-864-2663
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 954 UTICA AVE APT#2F
Street2 [empty string]
Zip4 [empty string]
Zip5 11203
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-04-16
BranchID 0
CaregiverCode 55618
CaregiverID 3984900
CaregiverMobileID 1143612
CaregiverMobileIDType Non-Clinical
CountryOfBirth [empty string]
DateofBirth 1956-11-22
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address 954 UTICA AVE BROOKLYN NY 11203
Name ODANE WARMINGTON
Phone1 347-423-6721
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther Family
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName PATRICIA
FirstWorkDate 2024-05-02
Gender FEMALE
HireDate 2024-04-19
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber 532-481-908
I9Notes [empty string]
I9Verified Y
Initials PW
Language1 2
Language2 0
Language3 0
Language4 0
LastName WARMINGTON
LastWorkDate 2025-04-11
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 10:30:14.183
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email PATRICIAWARMINGTON2@GMAIL.COM
MethodID 2
MobileOrSMS 718-864-2663
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED BROWN CHERRINE
ReferralSourceID 0
RegistryDate 2024-04-16
Registrynumber 694186
Rehire No
RehireDate [empty string]
SSN 119-67-4198
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Caregiver inactive for 90 days
StatusReason -1
TeamID 10377875
TerminatedDate 2025-07-10
TimeAndAttendancePIN 055618
TimeZone Eastern
86
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 646-886-6320
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1790 STORY AVE 8B
Street2 [empty string]
Zip4 [empty string]
Zip5 10473
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-05-20
BranchID 10096393
CaregiverCode 59383
CaregiverID 4660050
CaregiverMobileID [empty string]
CaregiverMobileIDType Non-Clinical
CountryOfBirth HONDURAS
DateofBirth 1978-05-19
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address 1790 STORY AVE 8B
Name WALDINA MARTINEZ
Phone1 646-463-2185
Phone2 [empty string]
RelationshipID 409576
RelationshipName Daughter
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType A
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName CARLA
FirstWorkDate [empty string]
Gender Female
HireDate [empty string]
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2026-11-21
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials CM
Language1 1
Language2 0
Language3 0
Language4 0
LastName MARIN GARCIA
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus S
MiddleName DARLENA
ModifiedDate 2025-07-11 11:02:50.493
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MAURA19578@GMAIL.COM
MethodID 2
MobileOrSMS 646-886-6320
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate 2025-05-20
Registrynumber 1011213
Rehire No
RehireDate [empty string]
SSN 848-90-5032
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Rejected
StatusNote HAS MISSED 3 NEW HIRE CLASSES IN MAY AND AGAIN ON 06/09. ATTEMPTED ONE LAS TIME TO RESCHEDULE ON 07/11 AND SHE DIDNT ANSWER.
StatusReason 0
TeamID 10379812
TerminatedDate 2025-07-11
TimeAndAttendancePIN 059383
TimeZone Eastern
87
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City CORONA
HomePhone 347-416-0059
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 104-26 47TH AVE.
Street2 [empty string]
Zip4 [empty string]
Zip5 11368
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2025-06-20
BranchID 0
CaregiverCode 59625
CaregiverID 4715274
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth ECUADOR
DateofBirth 1993-12-29
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 104-50 47TH AVE
Name CARMEN TAMAY
Phone1 [empty string]
Phone2 347-969-7139
RelationshipID 423909
RelationshipName Family Member
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType A
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName BLANCA
FirstWorkDate [empty string]
Gender Female
HireDate [empty string]
I9ABDocumentID 0
I9CDocumentID 0
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified [empty string]
Initials BT
Language1 1
Language2 0
Language3 0
Language4 0
LastName TAMAY TACURI
LastWorkDate [empty string]
LocationID 10048700
MaritalStatus [empty string]
MiddleName NUBE
ModifiedDate 2025-07-11 12:46:44.190
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email BLANCATAMAY31@GMAIL.COM
MethodID 2
MobileOrSMS 347-416-0059
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson CERTIFIED(MICAELA GRANDE)
ReferralSourceID 10098390
RegistryDate [empty string]
Registrynumber 01062896
Rehire No
RehireDate [empty string]
SSN 063-57-8545
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Rejected
StatusNote 105 SUBMITTED UNABLE TO COMPLETE HIRING PROCESS DUE TO APPLICANT COULDN'T COMPLETE ORIENATATION PAPERWOK DUE TO HAVING TO LEAVE BECAUSE SHE HAD TO PICK UP HER CHILDREN.NEVER RETURNED EMAILED OUTCOME.
StatusReason 0
TeamID 10377885
TerminatedDate 2025-07-11
TimeAndAttendancePIN 059625
TimeZone Eastern
88
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City JAMAICA
HomePhone 347-952-2973
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 87-68 SUTPHIN BLVD
Street2 [empty string]
Zip4 [empty string]
Zip5 11435
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-03
BranchID 0
CaregiverCode 56571
CaregiverID 4109863
CaregiverMobileID 5008300
CaregiverMobileIDType Non-Clinical
CountryOfBirth YEMEN
DateofBirth 1989-02-10
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name AHMED AWAD
Phone1 718-674-4796
Phone2 [empty string]
RelationshipID 409575
RelationshipName Brother
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Unknown
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName THIKRA
FirstWorkDate 2024-09-10
Gender Female
HireDate 2024-08-15
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials TA
Language1 11
Language2 0
Language3 0
Language4 0
LastName AWAD
LastWorkDate 2025-03-28
LocationID 10048707
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-11 13:36:35.860
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email AHMEDA7961@GMAIL.COM
MethodID 2
MobileOrSMS 347-952-2973
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 194-65-5574
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote PPL TRANSITION
StatusReason 0
TeamID 10379816
TerminatedDate 2025-07-11
TimeAndAttendancePIN 056571
TimeZone Eastern
89
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City YONKERS
HomePhone 929-258-2939
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 260 S BROADWAY #5F
Street2 [empty string]
Zip4 [empty string]
Zip5 10705
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-08-15
BranchID 0
CaregiverCode 56986
CaregiverID 4139937
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1991-06-24
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name VIELKA SANCHEZ-RAMIREZ
Phone1 914-320-2693
Phone2 [empty string]
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName STEFANI
FirstWorkDate 2024-10-13
Gender Female
HireDate 2024-10-02
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials SB
Language1 1
Language2 0
Language3 0
Language4 0
LastName BONIFACIO
LastWorkDate 2025-03-30
LocationID 10048707
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 13:37:36.127
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 929-258-2939
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer Fidelis Care
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 779-50-3014
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote PPL TRANSITION
StatusReason 0
TeamID 10379816
TerminatedDate 2025-07-11
TimeAndAttendancePIN 056986
TimeZone Eastern
90
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 718-314-2112
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 5421 5TH AVE FL 3
Street2 [empty string]
Zip4 [empty string]
Zip5 11220
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-08-19
BranchID 0
CaregiverCode 56979
CaregiverID 4138052
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth ECUADOR
DateofBirth 1972-10-14
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name JOSE LEMA
Phone1 646-305-6199
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName BLANCA
FirstWorkDate 2024-09-09
Gender Female
HireDate 2024-09-05
I9ABDocumentID 7
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials BL
Language1 1
Language2 0
Language3 0
Language4 0
LastName LEMA PAGUAY
LastWorkDate 2025-02-20
LocationID 10048707
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 13:39:10.010
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email BLANCA2020@LIVE.COM
MethodID 2
MobileOrSMS 718-314-2112
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer Elderplan MJHS
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 068-86-8593
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote PPL TRANSITION
StatusReason 0
TeamID 10379816
TerminatedDate 2025-07-11
TimeAndAttendancePIN 056979
TimeZone Eastern
91
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City JAMAICA
HomePhone 347-930-4907
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 155-32 115 DRIVE
Street2 [empty string]
Zip4 [empty string]
Zip5 11434
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-05-06
BranchID 0
CaregiverCode 55784
CaregiverID 4011496
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth JAMAICA
DateofBirth 1972-08-26
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name CARLTON POWNALL
Phone1 347-615-1869
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Unknown
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName SUZETTE
FirstWorkDate 2024-05-17
Gender Female
HireDate 2024-05-15
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified N
Initials SP
Language1 2
Language2 0
Language3 0
Language4 0
LastName POWNALL
LastWorkDate 2025-02-13
LocationID 10048707
MaritalStatus M
MiddleName [empty string]
ModifiedDate 2025-07-11 13:39:42.513
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email SUZETTEPOWNALL40@ICLOUD.COM
MethodID 2
MobileOrSMS 347-930-4907
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 603-89-0444
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote PPL TRANSITION
StatusReason 0
TeamID 10379816
TerminatedDate 2025-07-11
TimeAndAttendancePIN 055784
TimeZone Eastern
92
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 646-399-2680
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 2445 WALTON AVE #6E
Street2 [empty string]
Zip4 [empty string]
Zip5 10468
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-04-26
BranchID 0
CaregiverCode 55723
CaregiverID 4000966
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1968-01-02
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name JUAN DE LOS SANTOS
Phone1 646-399-9887
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate 2024-06-13
Gender Female
HireDate 2024-05-31
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber MISSING
I9Notes [empty string]
I9Verified Y
Initials MP
Language1 1
Language2 0
Language3 0
Language4 0
LastName PEGUERO DE DE LOS SANTOS
LastWorkDate 2024-12-06
LocationID 10048707
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 13:40:22.683
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MARIANELYPEGUERO@GMAIL.COM
MethodID 2
MobileOrSMS 646-399-2680
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer Molina Health New York, SWHNY-MLTC
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 050-33-2454
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote PPL TRANSITION
StatusReason 0
TeamID 10379816
TerminatedDate 2025-07-11
TimeAndAttendancePIN 055723
TimeZone Eastern
93
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City NEW YORK
HomePhone 929-837-3617
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 101 COOPER ST. #4B
Street2 [empty string]
Zip4 [empty string]
Zip5 10034
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-03-25
BranchID 0
CaregiverCode 55480
CaregiverID 3967723
CaregiverMobileID 1551821
CaregiverMobileIDType Non-Clinical
CountryOfBirth UNITED STATES
DateofBirth 1998-10-19
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name W. OTTMAN
Phone1 929-837-3615
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Unknown
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName HILAH
FirstWorkDate 2024-05-01
Gender Female
HireDate 2024-04-26
I9ABDocumentID 1
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified N
Initials HO
Language1 2
Language2 0
Language3 0
Language4 0
LastName OTTMAN
LastWorkDate 2025-03-31
LocationID 10048707
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 13:41:21.230
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email HALOH2098@GMAIL.COM
MethodID 2
MobileOrSMS 929-837-3617
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 077-88-8453
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote PPL TRANSITION
StatusReason 0
TeamID 10379816
TerminatedDate 2025-07-11
TimeAndAttendancePIN 055480
TimeZone Eastern
94
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 347-592-4549
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 101 ELDERT ST #3
Street2 [empty string]
Zip4 [empty string]
Zip5 11207
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-25
BranchID 0
CaregiverCode 56497
CaregiverID 4105491
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth UNITED STATES
DateofBirth 1999-10-07
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name NATHAN JOSEPH
Phone1 347-986-4578
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Unknown
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName DENA
FirstWorkDate [empty string]
Gender Female
HireDate 2024-08-08
I9ABDocumentID 7
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials DT
Language1 2
Language2 0
Language3 0
Language4 0
LastName THURMAN
LastWorkDate [empty string]
LocationID 10048707
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 13:42:06.367
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email THURMANSD@GMAIL.COM
MethodID 2
MobileOrSMS 347-592-4549
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 119-88-5872
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote PPL TRANSITION
StatusReason 0
TeamID 10379816
TerminatedDate 2025-07-11
TimeAndAttendancePIN 056497
TimeZone Eastern
95
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BROOKLYN
HomePhone 646-508-9931
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1233 39TH STREET
Street2 [empty string]
Zip4 [empty string]
Zip5 11218
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-08-09
BranchID 0
CaregiverCode 56785
CaregiverID 4126389
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1957-11-23
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name OTTO MARTINEZ
Phone1 917-605-6747
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline PA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MIREYA
FirstWorkDate 2024-10-01
Gender Female
HireDate 2024-09-24
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MM
Language1 1
Language2 0
Language3 0
Language4 0
LastName MARTINEZ
LastWorkDate 2025-03-31
LocationID 10048707
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 13:42:51.993
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email MMAR481@GMAIL.COM
MethodID 2
MobileOrSMS 646-508-9931
VoiceMessage [empty string]
OfficeID 11880
Other [empty string]
Payer Elderplan MJHS
ProfessionalLicensenumber [empty string]
ReferralPerson PA
ReferralSourceID 10110820
RegistryDate [empty string]
Registrynumber [empty string]
Rehire No
RehireDate [empty string]
SSN 079-76-3382
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote PPL TRANSITION
StatusReason 0
TeamID 10379816
TerminatedDate 2025-07-11
TimeAndAttendancePIN 056785
TimeZone Eastern
96
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 646-500-2145
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1473 MONTGOMERY AVE
Street2 APT A
Zip4 [empty string]
Zip5 10453
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-12-06
BranchID 0
CaregiverCode 57928
CaregiverID 4269654
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1964-06-15
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 1473 MOMTGOMERY AVE APT A
Name COREDIA PAULINO
Phone1 [empty string]
Phone2 347-471-8338
RelationshipID 409581
RelationshipName Sister
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIA
FirstWorkDate 2025-02-12
Gender Female
HireDate 2024-12-26
I9ABDocumentID 4
I9CDocumentID -1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MR
Language1 1
Language2 0
Language3 0
Language4 0
LastName RUIZ DE PAULINO
LastWorkDate 2025-02-12
LocationID 10048700
MaritalStatus S
MiddleName YOKASTA JOSEFINA
ModifiedDate 2025-07-11 14:06:07.730
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email [empty string]
MethodID 2
MobileOrSMS 646-500-2145
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson WANDALIS PEREZ
ReferralSourceID 10110816
RegistryDate [empty string]
Registrynumber 521534
Rehire No
RehireDate [empty string]
SSN 649-73-4116
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057928
TimeZone Eastern
97
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 347-639-2727
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 2396 MORRIS AVE
Street2 Apt# 2H
Zip4 [empty string]
Zip5 10468
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-12-12
BranchID 0
CaregiverCode 57972
CaregiverID 4274790
CaregiverMobileID 5088137
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1998-08-12
Dependents [empty string]
EmergencyContact1
CaregiverChangesV2Details - struct
Address 410 BRONX
Name ROSA VERA
Phone1 [empty string]
Phone2 646-671-8371
RelationshipID 423910
RelationshipName Friend
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JESUS
FirstWorkDate 2025-02-06
Gender Male
HireDate 2025-01-08
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-02-27
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JJ
Language1 1
Language2 0
Language3 0
Language4 0
LastName JIMENEZ ABAD
LastWorkDate 2025-02-07
LocationID 10048700
MaritalStatus S
MiddleName ALBERTO
ModifiedDate 2025-07-11 14:23:17.587
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email JESUSJIMENEZABAD292@GMAIL.COM
MethodID 2
MobileOrSMS 347-639-2727
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate [empty string]
Registrynumber 1208982
Rehire No
RehireDate [empty string]
SSN 822-33-3174
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 057972
TimeZone Eastern
98
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 646-647-7021
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1015 GERARD AVE #1H
Street2 [empty string]
Zip4 [empty string]
Zip5 10452
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-04-25
BranchID 0
CaregiverCode 56112
CaregiverID 4055601
CaregiverMobileID 4588202
CaregiverMobileIDType Non-Clinical
CountryOfBirth GUINEA
DateofBirth 2001-02-28
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name AISSATOU THIAM
Phone1 646-657-4042
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther [empty string]
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity African American
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName KADIATOU
FirstWorkDate 2024-07-09
Gender Female
HireDate 2024-07-02
I9ABDocumentID 8
I9CDocumentID 1
I9DocumentExpiration [empty string]
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials KB
Language1 2
Language2 0
Language3 0
Language4 0
LastName BANGOURA
LastWorkDate 2025-02-18
LocationID 10048700
MaritalStatus S
MiddleName [empty string]
ModifiedDate 2025-07-11 14:32:00.803
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email KBANGOURA00@GMAIL.COM
MethodID 2
MobileOrSMS 646-647-7021
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer Aetna Better Health of NY, CenterLight HealthCare (PACE), Girling Health Care Of New York, Healthfirst, Molina Health New York, RiverSpring Health Plans, VNS Health Health Plans
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 10115599
RegistryDate [empty string]
Registrynumber 1024866
Rehire No
RehireDate [empty string]
SSN 006-63-9480
Sent105 Y
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote [empty string]
StatusReason 1973624
TeamID 10379812
TerminatedDate 2025-07-03
TimeAndAttendancePIN 056112
TimeZone Eastern
99
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City BRONX
HomePhone 347-575-1548
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 1234 BOSTON RD #2B
Street2 [empty string]
Zip4 [empty string]
Zip5 10456
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-07-29
BranchID 0
CaregiverCode 56710
CaregiverID 4120693
CaregiverMobileID 4990219
CaregiverMobileIDType Non-Clinical
CountryOfBirth DOMINICAN REPUBLIC
DateofBirth 1994-12-25
Dependents 1
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name YINET SALDANA
Phone1 347-247-5545
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther Family
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline HHA
Ethnicity Hispanic
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName JODALMA
FirstWorkDate 2024-08-17
Gender FEMALE
HireDate 2024-08-15
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2029-02-05
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials JD
Language1 1
Language2 0
Language3 0
Language4 0
LastName DE LA ROSA PEREZ
LastWorkDate 2025-04-13
LocationID 10048700
MaritalStatus S
MiddleName EUGENIA
ModifiedDate 2025-07-12 08:51:23.607
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email JODALMA94@ICLOUD.COM
MethodID 2
MobileOrSMS 347-575-1548
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson [empty string]
ReferralSourceID 0
RegistryDate 2024-07-29
Registrynumber 1157387
Rehire No
RehireDate [empty string]
SSN 802-33-2463
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Caregiver inactive for 90 days
StatusReason -1
TeamID 10379812
TerminatedDate 2025-07-12
TimeAndAttendancePIN 056710
TimeZone Eastern
100
CaregiverChangesV2Details - struct
Address
CaregiverChangesV2Details - struct
City NEW YORK
HomePhone 201-320-8205
Phone2 [empty string]
Phone3 [empty string]
State NY
Street1 72 WEST 109TH ST #3E
Street2 [empty string]
Zip4 [empty string]
Zip5 10025
AgencyID 337
AlternateCaregiverCode [empty string]
ApplicationDate 2024-10-30
BranchID 0
CaregiverCode 57826
CaregiverID 4253394
CaregiverMobileID [empty string]
CaregiverMobileIDType [empty string]
CountryOfBirth [empty string]
DateofBirth 1973-01-02
Dependents 0
EmergencyContact1
CaregiverChangesV2Details - struct
Address [empty string]
Name TELEMAQUE
Phone1 917-569-3903
Phone2 [empty string]
RelationshipID 423908
RelationshipName Family
RelationshipOther Family
EmergencyContact2
CaregiverChangesV2Details - struct
Address [empty string]
Name [empty string]
Phone1 [empty string]
Phone2 [empty string]
RelationshipID 0
RelationshipName [empty string]
RelationshipOther [empty string]
EmployeeID [empty string]
EmployeeType E
EmploymentTypes
CaregiverChangesV2Details - struct
Discipline
CaregiverChangesV2Details - array
1 HHA
2 HCSS
Ethnicity Asian
ExclusionListCheckedOn [empty string]
ExclusionListStatus N
FirstName MARIE
FirstWorkDate 2024-12-10
Gender FEMALE
HireDate 2024-12-06
I9ABDocumentID 6
I9CDocumentID -1
I9DocumentExpiration 2026-11-18
I9EVerifyNumber [empty string]
I9Notes [empty string]
I9Verified Y
Initials MA
Language1 2
Language2 0
Language3 0
Language4 0
LastName ARCHIBAL
LastWorkDate 2025-04-12
LocationID 10048700
MaritalStatus S
MiddleName GARCIA SANDRA
ModifiedDate 2025-07-12 08:51:27.667
NPInumber [empty string]
NotificationPreferences
CaregiverChangesV2Details - struct
Email ARCHIBALMGARCIASANDRA@GMAIL.COM
MethodID 2
MobileOrSMS 201-320-8205
VoiceMessage [empty string]
OfficeID 11876
Other [empty string]
Payer [empty string]
ProfessionalLicensenumber [empty string]
ReferralPerson certified- -PIERRE GUETIENSTA
ReferralSourceID 0
RegistryDate [empty string]
Registrynumber 1152807
Rehire No
RehireDate [empty string]
SSN 362-99-1663
Sent105 N
SignedPayrollAgreement No
SignedPayrollAgreementDate [empty string]
Status Terminated
StatusNote Caregiver inactive for 90 days
StatusReason -1
TeamID 10377875
TerminatedDate 2025-07-12
TimeAndAttendancePIN 057826
TimeZone Eastern
Result
CaregiverChangesV2Details - struct
Details [empty string]
ErrorInfo
CaregiverChangesV2Details - struct
ErrorID 0
ErrorMessage [empty string]
AgencyID OfficeID CaregiverID ModifiedDate FirstName LastName Gender DateOfBirth
337 11876 3928139 2025-07-03 11:44:38.123 YVETTE PARKS Female 1965-05-04
337 11876 4321826 2025-07-03 12:55:53.117 MIGDALIA PEREZ QUINTERO Female 1975-10-31
337 11876 4034538 2025-07-03 13:51:39.133 TAMARA KOLOMEYER Female 1968-04-20
337 1282 3638424 2025-07-03 18:03:18.740 RAISA KERIMOVA Select
337 11876 3912772 2025-07-07 11:03:19.870 MARTHA BARRERA Female 1970-11-01
337 11876 3721058 2025-07-07 11:17:56.840 MADELINE JENKINS Female 1962-11-29
337 11876 4107883 2025-07-07 11:20:06.797 CECILIA FIGUEREO DEL ROSARIO Female 1967-08-06
337 11876 4119043 2025-07-07 11:23:42.760 DOLLEEN GRIGGS Female 1971-06-20
337 11876 3940208 2025-07-07 11:26:29.633 ELEANOR MUNNERLYN Female 1968-05-31
337 11876 4103484 2025-07-07 11:29:06.213 CARMELETTA ROBINSON Female 1971-07-27
337 11876 1195765 2025-07-07 11:32:22.797 CHRISTINE WALTERS Female 1958-09-05
337 11876 3106385 2025-07-07 11:38:46.610 JOHANE MASCARY Female 1986-05-04
337 11876 194290 2025-07-07 11:43:28.787 PATRICIA MCALMONT Female 1973-05-03
337 11876 3838780 2025-07-07 11:47:11.290 SVETLANA BAZAROVA Female 1971-10-13
337 11876 4109470 2025-07-07 11:48:49.927 LUCIA CABRERA NUNEZ Female 1981-05-23
337 11876 4228924 2025-07-07 11:49:39.027 YUNAISY LAPORTE GARCIA Female 1979-03-31
337 11876 2311836 2025-07-07 11:54:24.100 ORAL MCKENZIE Male 1980-10-05
337 11876 4207181 2025-07-07 11:55:44.677 MARILENIS FLORIAN DE JIMENEZ Female 1974-11-03
337 11876 4300256 2025-07-07 11:56:37.100 WAYOLI MATHEUS Female 1984-06-12
337 11876 4002450 2025-07-07 11:58:23.983 YESENIA TAVAREZ Female 1997-11-25
337 11876 4084232 2025-07-07 11:59:54.837 LEIDY BETANCUR PAJOY Female 1984-04-24
337 11876 4133405 2025-07-07 12:01:19.510 MARIA CALDERON ABREU Female 1975-02-05
337 11876 3806180 2025-07-07 12:42:06.000 JUNE BRISTOL Female 1959-12-11
337 11876 4226884 2025-07-07 12:43:36.263 LUCI MEJIA PERTIAGA Female 1985-12-20
337 11876 3812439 2025-07-07 12:44:28.303 VALIANT VILLAMOR Male 1969-05-10
337 11876 3478548 2025-07-07 12:57:33.767 JUANA NUNEZ Female 1962-11-12
337 11876 4239816 2025-07-07 13:00:06.697 AUDREY RICHARDS Female 1969-11-16
337 11876 3922310 2025-07-07 13:05:59.483 ANA SANCHEZ DE LA ROSA Female 1967-09-05
337 11876 3820739 2025-07-07 13:06:57.860 PEIYING LUO DE WU Female 1974-05-04
337 11876 3907193 2025-07-07 13:08:06.330 MIRIAM ASITIMBAY INGA Female 1986-02-24
337 11876 3848691 2025-07-07 13:08:59.917 SANDRA MATOS BAEZ Female 1960-01-15
337 11876 1046507 2025-07-07 13:34:46.103 FAREEZA ALLIE Female 1968-03-15
337 11876 4089918 2025-07-07 13:37:30.563 STADENE BROWN Female 1982-07-14
337 11876 4092287 2025-07-07 13:40:57.777 LENIN SILVESTRE DE LOS SANTOS Female 1990-04-30
337 11876 4320815 2025-07-07 13:47:40.910 JOANA AGUIRRE GUTIERREZ Female 1979-12-11
337 11876 4326199 2025-07-07 14:08:30.597 YOGEIRY GRULLON DE PAULINO Female 1994-06-07
337 11876 4286875 2025-07-07 14:12:29.963 HADASSA VALIERE Female 1991-02-19
337 11876 3720091 2025-07-07 14:31:50.227 MARCELINA GUTIERREZ DE JIMENEZ Female 1969-04-06
337 11876 916466 2025-07-07 14:34:53.967 BELKIS PAYANO ABREU Female 1969-01-25
337 11876 3312967 2025-07-07 14:48:56.370 DINARA BALTINA Female 1975-03-08
337 11876 3396609 2025-07-07 14:52:14.507 MARIA ALMARANTE DE SABINO Female 1969-12-09
337 11878 1633251 2025-07-07 14:53:14.583 VIVENE HOLMES Female 1955-06-24
337 11876 3496074 2025-07-07 14:54:28.350 ANGELA MEJIA Female 1967-04-13
337 11876 4270537 2025-07-07 14:55:19.453 VICTOR ROQUE MARTINEZ Male 1993-10-30
337 11876 684976 2025-07-07 14:56:23.760 MARIA TORIBIO POLANCO Female 1981-07-22
337 11876 4131615 2025-07-07 14:57:44.667 EILEEN BUMBURY Female 1963-10-25
337 11876 4173207 2025-07-07 15:52:43.620 ANA M SANTOS PAULINO Female 1988-03-05
337 11876 4226897 2025-07-07 15:57:33.300 MARIA CORDERO PAREDES Female 1965-12-08
337 11876 4218403 2025-07-07 15:59:49.923 NILY TOUSSAINT HERNANDEZ Female 1966-09-08
337 11876 3943581 2025-07-07 16:00:43.310 KEISHA PEART POWELL Female 1978-10-04
337 11876 4105151 2025-07-07 16:01:55.700 SANDRA JOHN Female 1960-03-18
337 11876 4212872 2025-07-07 16:02:51.143 ASMAT ROBERT Female 1967-07-20
337 11876 4067545 2025-07-07 16:04:11.910 ROSA PINARGOTE BRAVO Female 1955-10-28
337 11876 4125263 2025-07-07 16:05:16.440 MIRLANDE TOUSSAINT Female 1977-08-05
337 11876 3629433 2025-07-07 16:07:04.893 NINA PASHENKO Female 1959-01-14
337 11876 4360745 2025-07-07 16:09:36.643 MARIA KIGONGO Female 1983-04-16
337 11876 3862313 2025-07-07 16:10:47.983 YULIIA KUZMENKO Female 1970-03-12
337 11876 4231318 2025-07-07 16:15:05.680 ROSELY DURAN MORETA Female 1999-02-10
337 11876 4331874 2025-07-07 16:17:18.403 JEANNY GUTIERREZ DE MENDONZA Female 1990-02-10
337 11876 4332087 2025-07-07 16:27:25.313 JOSE HERNANDEZ MIJANGOS Male 1985-06-09
337 11876 4355500 2025-07-07 16:28:12.937 MELISA MUNOZ DE FERNANDEZ Female 1991-03-15
337 11876 4334474 2025-07-07 16:28:53.563 ZOILA INTRIAGO ROMERO Female 1968-01-22
337 11876 4321843 2025-07-07 16:29:49.390 MARIA PADILLA TONATO Female 1976-12-28
337 1282 4389185 2025-07-07 16:31:39.223 NARBYS ROJAS Female 1987-05-28
337 11876 4320316 2025-07-07 16:59:40.863 RENATA ZAGULA Female 1970-03-10
337 11876 4703269 2025-07-08 11:22:09.743 JANETH GUERRERO NUNEZ Female 1968-05-08
337 11876 4703295 2025-07-08 11:24:59.213 SANTOS AYALA Female 1971-11-02
337 11876 4109129 2025-07-08 11:58:27.293 SHENIQUE SEALE Female 1993-01-25
337 11876 3737641 2025-07-08 12:20:11.750 YOLANDA TAVAREZ DE LIZ Female 1973-07-29
337 11876 3688110 2025-07-08 12:39:21.693 JORDAN WONG HEYWARD Male 1998-02-26
337 11876 3676719 2025-07-08 12:53:19.667 MARIA MENA DE NUNEZ Female 1988-03-27
337 11876 2939024 2025-07-08 15:07:30.080 THERESA SMITH Female 1944-02-06
337 11876 4410832 2025-07-09 11:08:36.750 ALICIA SANCHEZ PAREDES Female 1988-02-04
337 11876 4321832 2025-07-10 09:53:25.827 DILAFRUZ RADJABOVA Female 1977-03-09
337 11880 4013877 2025-07-10 12:06:09.460 LAKIM LUSTER Male 1982-08-02
337 11876 3668271 2025-07-10 14:47:28.097 NICAURY GIL Female 1998-11-03
337 11876 902927 2025-07-10 15:21:53.613 SHARESE TAYLOR Female 1971-05-29
337 11876 4034746 2025-07-10 15:24:54.073 YUSEIRA RODRIGUEZ TOVAR Female 1989-12-10
337 11876 3793086 2025-07-10 17:09:59.510 VALARIE JOHNSON Female 1972-09-20
337 11876 4738439 2025-07-11 09:42:13.343 JENNIFER RODRIGUEZ Female 1989-10-09
337 11880 4346601 2025-07-11 09:48:35.830 IVAN PLUZHNIK Male 1954-10-14
337 11876 4392701 2025-07-11 10:13:50.400 GLORIA YAURI INGA FEMALE 1976-05-18
337 11876 4102404 2025-07-11 10:24:57.980 BLESSING UWAKWE FEMALE 1981-12-07
337 11876 4316430 2025-07-11 10:29:01.227 EDNA AMPOFO FEMALE 1989-11-15
337 11876 3984900 2025-07-11 10:30:14.183 PATRICIA WARMINGTON FEMALE 1956-11-22
337 11876 4660050 2025-07-11 11:02:50.493 CARLA MARIN GARCIA Female 1978-05-19
337 11876 4715274 2025-07-11 12:46:44.190 BLANCA TAMAY TACURI Female 1993-12-29
337 11880 4109863 2025-07-11 13:36:35.860 THIKRA AWAD Female 1989-02-10
337 11880 4139937 2025-07-11 13:37:36.127 STEFANI BONIFACIO Female 1991-06-24
337 11880 4138052 2025-07-11 13:39:10.010 BLANCA LEMA PAGUAY Female 1972-10-14
337 11880 4011496 2025-07-11 13:39:42.513 SUZETTE POWNALL Female 1972-08-26
337 11880 4000966 2025-07-11 13:40:22.683 MARIA PEGUERO DE DE LOS SANTOS Female 1968-01-02
337 11880 3967723 2025-07-11 13:41:21.230 HILAH OTTMAN Female 1998-10-19
337 11880 4105491 2025-07-11 13:42:06.367 DENA THURMAN Female 1999-10-07
337 11880 4126389 2025-07-11 13:42:51.993 MIREYA MARTINEZ Female 1957-11-23
337 11876 4269654 2025-07-11 14:06:07.730 MARIA RUIZ DE PAULINO Female 1964-06-15
337 11876 4274790 2025-07-11 14:23:17.587 JESUS JIMENEZ ABAD Male 1998-08-12
337 11876 4055601 2025-07-11 14:32:00.803 KADIATOU BANGOURA Female 2001-02-28
337 11876 4120693 2025-07-12 08:51:23.607 JODALMA DE LA ROSA PEREZ FEMALE 1994-12-25
337 11876 4253394 2025-07-12 08:51:27.667 MARIE ARCHIBAL FEMALE 1973-01-02