CaregiverChangesV3Details - struct

Body

CaregiverChangesV3Details - struct GetCaregiverChangesV3Response CaregiverChangesV3Details - struct GetCaregiverChangesV3Result CaregiverChangesV3Details - struct GetCaregiverChangesV3Info CaregiverChangesV3Details - array 1 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name KIM BROWN Phone1 646-530-9079 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 8922 129TH ST Name PEDRO ANTONIO SACANAMISOL Phone1 [empty string] Phone2 646-996-5642 RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name SVETLANA Phone1 347-522-7028 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name [empty string] Phone1 [empty string] Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name RAMIRO LOAITA Phone1 347-772-0730 Phone2 [empty string] RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name MAXIMA MOSQUE Phone1 347-358-0947 Phone2 [empty string] RelationshipID 423910 RelationshipName Friend RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 321 SECOND ST. PHILADELPHIA Name IAISHA MUNNERLYN Phone1 [empty string] Phone2 347-879-1053 RelationshipID 409576 RelationshipName Daughter RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 653 E 240TH ST Name RICHARD ROBINSON Phone1 516-430-8601 Phone2 [empty string] RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name EROL WATERS Phone1 917-202-2065 Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name [empty string] Phone1 [empty string] Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name [empty string] Phone1 [empty string] Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name FIRUZA Phone1 917-618-9475 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name JENNIFER MCKENZIE Phone1 917-519-8360 Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 3859 12 TH ST Name ROBERTO Phone1 347-776-2027 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name MICKEY MIGUEL Phone1 917-701-0463 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name LUISA F. PUENTES Phone1 [empty string] Phone2 347-531-8411 RelationshipID 423905 RelationshipName Cousin RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name JUAN BRITO Phone1 646-342-0999 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name DUNSTON BRISTOL Phone1 347-542-2951 Phone2 [empty string] RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name HOOVER ORTEGO Phone1 347-641-3544 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name [empty string] Phone1 [empty string] Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 885 ELMERE PLACE Name randopho lopez Phone1 401-616-7464 Phone2 [empty string] RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 205-22 112TH AVE Name MITCHELL LAMBERT Phone1 [empty string] Phone2 513-315-1359 RelationshipID 423905 RelationshipName Cousin RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name YONG WEI WU Phone1 929-249-8010 Phone2 [empty string] RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name DARWIN GONZALEZ Phone1 [empty string] Phone2 178-350-4944 RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name NANCY MATOS Phone1 347-822-2328 Phone2 [empty string] RelationshipID 409581 RelationshipName Sister RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name [empty string] Phone1 [empty string] Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 555 W 171ST Name LUIS OLIVARES Phone1 646-464-5490 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name DEIRY PAULINO Phone1 917-331-8262 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name ARELIS PAYANO Phone1 347-367-8473 Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name AYA SULTAN Phone1 347-988-5198 Phone2 [empty string] RelationshipID 423910 RelationshipName Friend RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name DOROTHY OSBOURNE Phone1 [empty string] Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name JUAN Phone1 718-570-7595 Phone2 [empty string] RelationshipID 409579 RelationshipName Son RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name ESTARLIN TORIBIO Phone1 347-517-2956 Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name TONYA BUMBURY Phone1 347-984-1047 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name ALBA MORALES Phone1 347-481-9117 Phone2 [empty string] RelationshipID 409583 RelationshipName Niece RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 815 PENIFIELD ST Name HUSBAND Phone1 347-952-0707 Phone2 [empty string] RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 2416 NEWKIRK AVE BROOKLYN Name JUNIOR MENTOR Phone1 917-530-3032 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name ASHOT Phone1 917-406-8930 Phone2 [empty string] RelationshipID 423913 RelationshipName Husband RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name ELENA MOSHCHINSKY Phone1 917-297-3898 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 238 W 238TH ST Name FIORDALISA MORETA Phone1 718-347-1885 Phone2 [empty string] RelationshipID 423901 RelationshipName Aunt RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name JOSE MENDOZA Phone1 929-575-0191 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name MARK JEGER Phone1 718-399-9425 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name [empty string] Phone1 [empty string] Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 54 RICHMOND STREET Name JOSE MARCIAS Phone1 [empty string] Phone2 929-417-4646 RelationshipID 409579 RelationshipName Son RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 176-10 JAMAICA AVE. Name LUISA GARCIA Phone1 [empty string] Phone2 347-942-6976 RelationshipID 423910 RelationshipName Friend RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name JORGE ARAQUE Phone1 929-204-3132 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name MADELIN GOMEZ Phone1 [empty string] Phone2 201-249-0936 RelationshipID 409576 RelationshipName Daughter RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 8750 108TH ST Name DANISHA Phone1 [empty string] Phone2 347-984-2857 RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name DEVON STERLING Phone1 929-434-5578 Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name RAUL MEJIA Phone1 917-322-1692 Phone2 [empty string] RelationshipID 423902 RelationshipName Boyfriend RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name RADJABOVA MR Phone1 929-722-7708 Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name [empty string] Phone1 [empty string] Phone2 [empty string] RelationshipID 0 RelationshipName [empty string] RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name MELISSA Phone1 [empty string] Phone2 347-707-8519 RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name NICOLE TAYLOR Phone1 [empty string] Phone2 347-248-9560 RelationshipID 423909 RelationshipName Family Member RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name ROSA YAURI Phone1 347-665-8484 Phone2 [empty string] RelationshipID 423909 RelationshipName Family Member RelationshipOther Family Member EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name GLADYS HERBERT Phone1 347-912-8341 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther Family EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name CORA MINKS Phone1 347-888-7746 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther Family EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 1790 STORY AVE 8B Name WALDINA MARTINEZ Phone1 646-463-2185 Phone2 [empty string] RelationshipID 409576 RelationshipName Daughter RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name AHMED AWAD Phone1 718-674-4796 Phone2 [empty string] RelationshipID 409575 RelationshipName Brother RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name VIELKA SANCHEZ-RAMIREZ Phone1 914-320-2693 Phone2 [empty string] RelationshipID 423910 RelationshipName Friend RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name JOSE LEMA Phone1 646-305-6199 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name CARLTON POWNALL Phone1 347-615-1869 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name JUAN DE LOS SANTOS Phone1 646-399-9887 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name W. OTTMAN Phone1 929-837-3615 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name NATHAN JOSEPH Phone1 347-986-4578 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name OTTO MARTINEZ Phone1 917-605-6747 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address 410 BRONX Name ROSA VERA Phone1 [empty string] Phone2 646-671-8371 RelationshipID 423910 RelationshipName Friend RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name AISSATOU THIAM Phone1 646-657-4042 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther [empty string] EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name YINET SALDANA Phone1 347-247-5545 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther Family EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Address [empty string] Name TELEMAQUE Phone1 917-569-3903 Phone2 [empty string] RelationshipID 423908 RelationshipName Family RelationshipOther Family EmergencyContact2 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Discipline CaregiverChangesV3Details - 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 CaregiverChangesV3Details - 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 CaregiverChangesV3Details - struct Details [empty string] ErrorInfo CaregiverChangesV3Details - struct ErrorID 0 ErrorMessage [empty string] pagination CaregiverChangesV3Details - struct currentPage 1 totalPages 95 totalRecords 9428

AgencyID	OfficeID	CaregiverID	ModifiedDate	FirstName	MiddleName	LastName	Initials	Gender	DateofBirth	CaregiverCode	AlternateCaregiverCode	TimeAndAttendancePIN	SSN	Ethnicity	CaregiverMobileID	CaregiverMobileIDType	Rehire	RehireDate	CountryOfBirth	MaritalStatus	Dependents	EmployeeType	Status	StatusReason	StatusNote	TerminatedDate	EmployeeID	ApplicationDate	TeamID	LocationID	BranchID	Payer	Registrynumber	RegistryDate	ReferralSourceID	ReferralPerson	SignedPayrollAgreement	SignedPayrollAgreementDate	ExclusionListCheckedOn	ExclusionListStatus	HireDate	I9ABDocumentID	I9CDocumentID	I9Verified	I9DocumentExpiration	I9Notes	I9EVerifyNumber	ProfessionalLicensenumber	NPInumber	Language1	Language2	Language3	Language4	Other	FirstWorkDate	LastWorkDate	TimeZone
337	11876	3928139	2025-07-03 11:44:38.123	YVETTE		PARKS	YP	Female	1965-05-04	55212		055212	050-58-3876	African American			No		US	S	0	E	Terminated	1640234		2025-07-03		2024-02-08	10377875	10048700	0	VNS Health Health Plans	114885	2024-02-08	10097415	PATIENT TRANSFER	No			N	2024-03-07	8	1	Y						2	0	0	0		2024-03-18	2024-12-11	Eastern
337	11876	4321826	2025-07-03 12:55:53.117	MIGDALIA	J	PEREZ QUINTERO	MP	Female	1975-10-31	58307		058307	880-37-1000	Hispanic	5139069	Non-Clinical	No		VENEZUELA	S	0	E	Terminated	1973624		2025-06-19		2025-01-07	10377885	10048700	0	Healthfirst	01232415	2025-02-17	10115599	CERTIFIED (EDGER G.)	No			N	2025-02-17	6	-1	Y	2029-02-14					1	0	0	0				Eastern
337	11876	4034538	2025-07-03 13:51:39.133	TAMARA		KOLOMEYER	TK	Female	1968-04-20	55989		055989	066-82-0324	Caucasian			No		UKRAINE	S	0	E	Terminated	1640234		2025-07-03		2024-05-29	10377875	10048700	0	RiverSpring Health Plans	177516	2024-05-29	10099938	CERTIFIED	No			N	2024-06-04	1	-1	N						7	0	0	0		2024-06-22	2025-04-30	Eastern
337	1282	3638424	2025-07-03 18:03:18.740	RAISA		KERIMOVA	RK	Select		53831		053831					No					A	Rejected	0				2023-05-30	10377884	0	0				10099947	CERTIFIED	No			N		0	0							7	0	0	0				Eastern
337	11876	3912772	2025-07-07 11:03:19.870	MARTHA		BARRERA	MB	Female	1970-11-01	55117		055117	717-38-5693	Hispanic	1659669	Non-Clinical	No		COLOMBIA	S	0	E	Terminated	1973624		2025-07-03		2024-02-08	10377875	10048700	0	Healthfirst	928392	2024-02-08	10097415	PATIENT TRANSFER	No			N	2024-02-23	4	-1	Y						1	0	0	0		2024-03-09	2025-01-19	Eastern
337	11876	3721058	2025-07-07 11:17:56.840	MADELINE	M	JENKINS	MJ	Female	1962-11-29	54235		054235	112-56-0419	African American			No		USA	S	0	E	Terminated	1973624		2025-07-03		2023-03-17	10377885	10048700	0	Elderplan MJHS, Fidelis Care, VNS Health Health Plans	01037611	2023-04-11	10097425	TRAINEE	No			N	2023-08-24	8	1	Y						2	0	0	0		2023-08-27	2025-01-21	Eastern
337	11876	4107883	2025-07-07 11:20:06.797	CECILIA		FIGUEREO DEL ROSARIO	CF	Female	1967-08-06	56541		056541	672-72-9088	Hispanic	4945740	Non-Clinical	No		DOMINICAN REPUBLIC	S	0	E	Terminated	1973624		2025-07-03		2024-07-12	10379812	10048700	0		1146496	2024-07-12	10115599		No			N	2024-10-08	4	-1	Y						1	0	0	0				Eastern
337	11876	4119043	2025-07-07 11:23:42.760	DOLLEEN		GRIGGS	DG	Female	1971-06-20	56671		056671	124-58-0547	African American	4849993	Non-Clinical	No		UNITED STATES			E	Terminated	1973624		2025-07-03		2024-08-01	10377875	10048700	0	CenterLight HealthCare (PACE), Fidelis Care, RiverSpring Health Plans			10116586	CERTIFIED	No			N	2024-09-10	7	1	Y						2	0	0	0		2024-09-28	2025-01-22	Eastern
337	11876	3940208	2025-07-07 11:26:29.633	ELEANOR	ROSALEE	MUNNERLYN	EM	Female	1968-05-31	55303		055303	102-60-4706	African American	1460978	Non-Clinical	No		U.S.A.	S	1	E	Terminated	1973624		2025-07-03		2024-03-05	10377885	10048700	0	Fidelis Care, Healthfirst, Molina Health New York, VNS Health Health Plans	00805508	2024-03-05	10097425	CERTIFIED	No			N	2024-03-12	8	1	Y						2	0	0	0		2024-03-23	2025-01-22	Eastern
337	11876	4103484	2025-07-07 11:29:06.213	CARMELETTA	N	ROBINSON	CR	Female	1971-07-27	56473		056473	417-97-9281	African American			No		JAMAICA	M	0	E	Terminated	1973624		2025-07-03		2024-07-05	10379812	10048700	0	CenterLight HealthCare (PACE), VNS Health Health Plans	1023206	2024-07-05	10115599		No			N	2024-07-30	4	-1	Y						2	0	0	0		2024-08-04	2025-01-22	Eastern
337	11876	1195765	2025-07-07 11:32:22.797	CHRISTINE		WALTERS	CW	Female	1958-09-05	46868	020651255	046868	020-65-1255	African American	4400590	Non-Clinical	No					E	Terminated	1973624		2025-07-03		2018-05-29	0	10048700	0	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			-1		No			N	2018-05-29	8	1	Y						2	0	0	0		2018-07-12	2025-01-22	Eastern
337	11876	3106385	2025-07-07 11:38:46.610	JOHANE		MASCARY	JM	Female	1986-05-04	52327		052327	299-27-1936	African American	1649274	Non-Clinical	No		HAITI	S	0	E	Terminated	1973624		2025-07-03		2022-03-23	0	10048700	0	Healthfirst, RiverSpring Health Plans	385009		-1		No			N	2022-05-01	8	1	Y						12	2	0	0		2022-05-05	2025-01-23	Eastern
337	11876	194290	2025-07-07 11:43:28.787	PATRICIA		MCALMONT	PM	Female	1973-05-03	6058	070726497	006058	070-72-6497	Caucasian	4358630	Non-Clinical	No					E	Terminated	1973624		2025-07-03		1996-02-14	0	10048700	0	NYC Health and Hospital, VNS Health Health Plans			-1		No			N	1996-02-14	16	1	Y						2	0	0	0		2016-05-26	2025-01-25	Eastern
337	11876	3838780	2025-07-07 11:47:11.290	SVETLANA		BAZAROVA	SB	Female	1971-10-13	54684		054684	509-63-8609	Caucasian			No			S	0	E	Terminated	1973624		2025-07-03		2023-11-20	0	10048700	0	RiverSpring Health Plans	670597		-1	CERTIFIED	No			N	2023-11-27	6	-1	Y	2025-08-21					7	0	0	0		2023-12-04	2025-01-26	Eastern
337	11876	4109470	2025-07-07 11:48:49.927	LUCIA		CABRERA NUNEZ	LC	Female	1981-05-23	56567		056567	890-29-8179	Hispanic	1619432	Non-Clinical	No		DOMINICAN REPUBLIC			E	Terminated	1973624		2025-07-03		2024-07-29	10377875	10048700	0	Healthfirst	640717	2024-07-29	10116586	BC-Transfer	No			N	2024-08-26	4	-1	Y						1	0	0	0		2025-01-25	2025-01-26	Eastern
337	11876	4228924	2025-07-07 11:49:39.027	YUNAISY		LAPORTE GARCIA	YL	Female	1979-03-31	57675		057675	660-66-9454	Hispanic	4885991	Non-Clinical	No		CUBA	M	0	E	Terminated	1973624		2025-07-03		2024-11-11	10377885	10048700	0		01117874	2024-11-11	10110783	CERTIFIED	No			N	2024-11-13	6	-1	Y	2025-09-25					1	0	0	0		2024-12-03	2025-01-26	Eastern
337	11876	2311836	2025-07-07 11:54:24.100	ORAL		MCKENZIE	OM	Male	1980-10-05	50553	611674951	050553	611-67-4951	African American	1225557	Non-Clinical	Yes	2020-10-09				E	Terminated	1973624		2025-07-03		2020-10-09	0	10048700	0	Fidelis Care, RiverSpring Health Plans, VNS Health Health Plans			-1		No			N	2020-09-30	8	1	Y						2	0	0	0		2021-02-18	2025-01-26	Eastern
337	11876	4207181	2025-07-07 11:55:44.677	MARILENIS		FLORIAN DE JIMENEZ	MF	Female	1974-11-03	57447		057447	749-07-5600	Hispanic	4909143	Non-Clinical	No		DOMINICAN REPUBLIC	M	0	E	Terminated	1973624		2025-07-03		2024-08-17	10377875	10048700	10096402	Elderplan MJHS, VNS Health Health Plans	1144366	2024-09-17	10110816	CERTIFY	No			N	2024-10-28	7	1	Y						1	0	0	0		2024-12-01	2025-01-30	Eastern
337	11876	4300256	2025-07-07 11:56:37.100	WAYOLI	M	MATHEUS	WM	Female	1984-06-12	58116		058116	744-18-4163	Hispanic	5036096	Clinical	No					E	Terminated	1973624		2025-07-03		2024-09-03	10377875	10048700	0		1170523	2024-09-03	10098380	CERTIFIED	No			N	2025-01-21	6	-1	Y	2029-07-05					1	0	0	0		2025-01-22	2025-01-30	Eastern
337	11876	4002450	2025-07-07 11:58:23.983	YESENIA	ALT	TAVAREZ	YT	Female	1997-11-25	55729		055729	715-79-5959	Hispanic	4837157	Non-Clinical	No		DOMINICAN REPUBLIC	S	0	E	Terminated	1973624		2025-07-03		2024-04-03	10379812	10048700	0	Elderplan MJHS, VNS Health Health Plans	01120277		-1		No			N	2024-05-03	4	-1	Y			IOE0324020440			2	0	0	0		2024-08-10	2025-01-31	Eastern
337	11876	4084232	2025-07-07 11:59:54.837	LEIDY	VIVIANA	BETANCUR PAJOY	LB	Female	1984-04-24	56268		056268	882-61-8698	Hispanic	4988960	Non-Clinical	No		COLOMBIA	S	0	E	Terminated	1973624		2025-07-03		2024-07-03	10377885	10048700	0		1164252	2024-08-07	10115599	TRAINEE	No			N	2024-09-12	6	-1	Y	2029-03-05					1	0	0	0		2024-09-16	2025-02-01	Eastern
337	11876	4133405	2025-07-07 12:01:19.510	MARIA	ALTAGRACIA	CALDERON ABREU	MC	Female	1975-02-05	56944		056944	737-02-4040	Hispanic	5009232	Non-Clinical	No		DOMINICAN REPUBLIC	S	0	E	Terminated	1973624		2025-07-03		2024-07-31	10379812	10048700	0	VNS Health Health Plans	1157768	2024-07-31	10115599		No			N	2024-08-27	6	-1	Y	2029-04-03					1	0	0	0		2024-08-31	2025-02-02	Eastern
337	11876	3806180	2025-07-07 12:42:06.000	JUNE	A	BRISTOL	JB	Female	1959-12-11	54495		054495	858-81-3071	African American	4784322	Non-Clinical	No		GUYANA	M	1	E	Terminated	1973624		2025-07-03		2023-10-17	10377875	10048705	0	Fidelis Care, Girling Health Care Of New York, Healthfirst, Revival Home Health Care, SWHNY-MLTC, VNS Health Health Plans			10098370	CERTIFIED	No			N	2023-10-24	8	1	Y						2	0	0	0		2024-03-14	2025-02-05	Eastern
337	11876	4226884	2025-07-07 12:43:36.263	LUCI		MEJIA PERTIAGA	LM	Female	1985-12-20	57645		057645	105-59-2124	Hispanic	5095090	Non-Clinical	No		COLOMBIA	S		E	Terminated	1973624		2025-07-03		2024-10-30	10379812	10048700	0	Fidelis Care, Healthfirst	1191826	2024-10-30	10110816	WANDALIS PEREZ	No			N	2025-01-23	6	-1	Y	2029-04-22					1	0	0	0		2025-02-06	2025-02-06	Eastern
337	11876	3812439	2025-07-07 12:44:28.303	VALIANT		VILLAMOR	VV	Male	1969-05-10	54544		054544	863-25-3483	Asian			No			M	0	E	Terminated	1973624		2025-07-03		2023-10-30	10377875	10048700	0				10098390		No			N	2023-11-07	4	-1	Y						2	0	0	0		2023-11-14	2025-02-06	Eastern
337	11876	3478548	2025-07-07 12:57:33.767	JUANA		NUNEZ	JN	Female	1962-11-12	53200		053200	117-74-8589	Hispanic	4420346	Clinical	No			M	0	E	Terminated	1973624		2025-07-03		2024-11-07	10377875	10048700	0	VNS Health Health Plans	926050	2024-11-07	-1		No			N	2024-12-05	1	-1	Y						1	0	0	0		2024-12-08	2025-02-07	Eastern
337	11876	4239816	2025-07-07 13:00:06.697	AUDREY	ELIZABETH	RICHARDS	AR	Female	1969-11-16	57754		057754	878-34-0098	Caribbean Indian	5077052	Non-Clinical	No		JAMAICA	M	0	E	Terminated	1973624		2025-07-03		2024-11-20	10377885	10048700	0	CenterLight HealthCare (PACE), VNS Health Health Plans	1206315	2024-11-19	10115599		No			N	2024-12-05	6	-1	Y	2029-08-14					2	0	0	0		2024-12-10	2025-01-20	Eastern
337	11876	3922310	2025-07-07 13:05:59.483	ANA	ANYELI	SANCHEZ DE LA ROSA	AS	Female	1967-09-05	55172		055172	871-56-8685	Hispanic	1471484	Non-Clinical	No		DOMINICAN REPUBLIC	M	0	E	Terminated	1973624		2025-07-03		2024-01-31	10379812	10048700	0		00767684	2024-01-31	10115599	CERTIFIED	No			N	2024-03-01	8	1	Y						1	0	0	0		2024-03-25	2025-02-08	Eastern
337	11876	3820739	2025-07-07 13:06:57.860	PEIYING		LUO DE WU	PL	Female	1974-05-04	54589		054589	387-85-8463	Asian	4799654	Non-Clinical	No		CHINA	M	3	E	Terminated	1973624		2025-07-03		2023-11-02	10377875	10048700	0	Elderplan MJHS			10110783	CERTIFIED	No			N	2023-11-13	6	-1	Y	2025-09-10					4	0	0	0		2023-11-16	2025-02-09	Eastern
337	11876	3907193	2025-07-07 13:08:06.330	MIRIAM	M	ASITIMBAY INGA	MA	Female	1986-02-24	55074		055074	114-98-6377	Hispanic	1249954	Non-Clinical	No		ECUADOR	M	0	E	Terminated	1973624		2025-07-03		2024-02-01	10377885	10048700	0	Fidelis Care, Healthfirst	00539274	2024-02-01	10097385	CERTIFIED	No			N	2024-03-12	7	1	Y						1	0	0	0		2024-03-13	2025-02-11	Eastern
337	11876	3848691	2025-07-07 13:08:59.917	SANDRA	R	MATOS BAEZ	SM	Female	1960-01-15	54751		054751	733-20-8846	Hispanic	4415843	Non-Clinical	No		DR	S	0	E	Terminated	1973624		2025-07-03		2023-12-06	10377875	10048700	0	Elderplan MJHS, Fidelis Care, Healthfirst, VNS Health Health Plans	141626	2023-12-06	10098380	CERTIFIED	No			N	2024-03-04	4	-1	Y						1	0	0	0		2024-03-18	2025-02-11	Eastern
337	11876	1046507	2025-07-07 13:34:46.103	FAREEZA		ALLIE	FA	Female	1968-03-15	46418	128766468	046418	128-76-6468	African American			Yes	2016-11-23				E	Terminated	1973624		2025-07-03		2016-11-23	0	10048700	0				-1		No			N	2005-11-03	8	1	Y						2	0	0	0		2022-02-26	2025-02-12	Eastern
337	11876	4089918	2025-07-07 13:37:30.563	STADENE		BROWN	SB	Female	1982-07-14	56322		056322	080-84-9251	African American	4491137	Non-Clinical	No		Jamaica			E	Terminated	1973624		2025-07-03		2024-07-17	10377875	10048700	0	Excellent Home Care Services, Fidelis Care	998525		10116586	BC-Transfer	No			N	2024-08-27	4	-1	Y						2	0	0	0		2024-09-07	2025-02-12	Eastern
337	11876	4092287	2025-07-07 13:40:57.777	LENIN		SILVESTRE DE LOS SANTOS	LS	Female	1990-04-30	56342		056342	109-53-9778	Hispanic	4836985	Non-Clinical	No		DOMINICAN REPUBLIC	M	0	E	Terminated	1973624		2025-07-03		2024-07-18	10377875	10048700	0	CenterLight HealthCare (PACE)	1098803	2024-07-18	10116586	CERTIFY	No			N	2024-08-15	4	-1	Y						1	0	0	0		2024-08-26	2025-02-13	Eastern
337	11876	4320815	2025-07-07 13:47:40.910	JOANA		AGUIRRE GUTIERREZ	JA	Female	1979-12-11	58298		058298	776-41-5967	Hispanic	5124386	Non-Clinical	No		COLOMBIA	S	0	E	Terminated	1973624		2025-07-03		2025-01-13	10377885	10048700	0		01097426	2025-02-05	10115599	CERTIFIED	No			N	2025-02-05	6	-1	Y	2029-11-18					1	0	0	0		2025-02-10	2025-02-14	Eastern
337	11876	4326199	2025-07-07 14:08:30.597	YOGEIRY		GRULLON DE PAULINO	YG	Female	1994-06-07	58330		058330	734-44-4300	Hispanic	1252288	Non-Clinical	No		DOMINICAN REPUBLIC	S	2	E	Terminated	1973624		2025-06-19		2025-02-04	10379812	10048700	0		0556691	2025-02-04	-1		No			N	2025-02-27	4	-1	Y						1	0	0	0				Eastern
337	11876	4286875	2025-07-07 14:12:29.963	HADASSA		VALIERE	HV	Female	1991-02-19	58057		058057	721-69-9527	African American	5115485	Non-Clinical	No		HAITI	S	0	E	Terminated	1973624		2025-07-03		2024-12-17	10377885	10048700	0	Elderplan MJHS, Molina Health New York	01209258	2024-12-17	10115599	CERTIFIED	No			N	2025-01-08	6	-1	Y	2026-06-23					2	5	12	0		2025-01-17	2025-02-15	Eastern
337	11876	3720091	2025-07-07 14:31:50.227	MARCELINA		GUTIERREZ DE JIMENEZ	MG	Female	1969-04-06	54227		054227	797-74-1554	Hispanic	4726421	Non-Clinical	No		DOMINICAN REPUBLIC	M	0	E	Terminated	1973624		2025-07-03		2023-08-22	10377885	10048700	0	Elderplan MJHS, Fidelis Care, Healthfirst	01063588	2023-08-22	10110378	CERIFIED	No			N	2023-09-28	4	-1	Y						1	0	0	0		2023-10-02	2025-02-19	Eastern
337	11876	916466	2025-07-07 14:34:53.967	BELKIS		PAYANO ABREU	BP	Female	1969-01-25	44844	536931386	044844	536-93-1386	Hispanic	4842983	Non-Clinical	No					E	Terminated	1973624		2025-07-03		2017-06-01	0	10048700	0	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			-1		No			N	2017-06-01	8	1	Y						1	0	0	0		2018-01-15	2025-02-21	Eastern
337	11876	3312967	2025-07-07 14:48:56.370	DINARA		BALTINA	DB	Female	1975-03-08	52763		052763	406-81-2486	Caucasian	1141755	Non-Clinical	No		KAZAKSTAN	S	0	E	Terminated	1973624		2025-07-03		2022-08-17	0	10048700	0		517363	2022-08-17	-1	VITALINA	No			N	2022-08-22	7	1	Y						7	0	0	0		2022-09-05	2025-02-24	Eastern
337	11876	3396609	2025-07-07 14:52:14.507	MARIA	D	ALMARANTE DE SABINO	MA	Female	1969-12-09	52901		052901	125-88-5620	Hispanic	4510344	Non-Clinical	No		DOMINICAN REPUBLIC	M	4	E	Terminated	1973624		2025-07-03		2022-09-19	0	10048700	0	CenterLight HealthCare (PACE), Elderplan MJHS, Extended Home Care, Healthfirst, Molina Health New York, SWHNY-MLTC, VNS Health Health Plans, VNS Health Home Care	00604291		10098380		No			N	2022-10-06	8	1	Y						1	0	0	0		2022-10-10	2025-02-25	Eastern
337	11878	1633251	2025-07-07 14:53:14.583	VIVENE		HOLMES	VH	Female	1955-06-24	49064	844738309	049064	844-73-8309	African American			No					E	Terminated	1973624		2025-07-03		2019-05-13	0	10048732	0	Elderplan MJHS, Fidelis Care, SWHNY-MLTC, VNS Health Health Plans, VNS Health Home Care			-1		No			N	2019-05-13	8	1	Y						2	0	0	0		2019-07-18	2025-02-25	Eastern
337	11876	3496074	2025-07-07 14:54:28.350	ANGELA		MEJIA	AM	Female	1967-04-13	53299		053299	090-82-2297	Hispanic			No		dr	M	2	E	Terminated	1973624		2025-07-03		2022-12-29	10377875	10048700	0		56015	2022-12-30	10109409	CERTIFIED	No			N	2022-12-30	1	-1	Y						1	0	0	0		2023-01-02	2025-02-25	Eastern
337	11876	4270537	2025-07-07 14:55:19.453	VICTOR	RAFAEL	ROQUE MARTINEZ	VR	Male	1993-10-30	57936		057936	886-88-7690	Hispanic	5077768	Non-Clinical	No		DOMINICAN REPUBLIC	M	2	E	Terminated	1973624		2025-07-03		2024-10-21	10379812	10048700	0	Girling Health Care Of New York, Healthfirst, VNS Health Health Plans	01191801	2024-10-21	10115599		No			N	2024-12-20	4	-1	Y						1	0	0	0		2024-12-29	2025-02-25	Eastern
337	11876	684976	2025-07-07 14:56:23.760	MARIA		TORIBIO POLANCO	MT	Female	1981-07-22	44102	598704200	044102	598-70-4200	Hispanic	4825233	Non-Clinical	Yes	2023-12-27	DR	S	1	E	Terminated	1973624		2025-07-03		2020-09-08	10377875	10048700	0	CenterLight HealthCare (PACE), Elderplan MJHS, Fidelis Care, Healthfirst, Molina Health New York, NYC Health and Hospital, VNS Health Health Plans			-1		No			N	2016-04-14	1	-1	Y				561564		1	0	0	0		2016-05-25	2025-02-25	Eastern
337	11876	4131615	2025-07-07 14:57:44.667	EILEEN		BUMBURY	EB	Female	1963-10-25	56896		056896	362-71-0178	African American	4942597	Non-Clinical	No		GUAYANA	M	0	E	Terminated	1973624		2025-07-03		2024-08-12	10377875	10048700	0	CenterLight HealthCare (PACE)	479981		10116586	CERTIFIED	No			N	2024-08-28	4	-1	Y						2	0	0	0		2024-10-30	2025-03-01	Eastern
337	11876	4173207	2025-07-07 15:52:43.620	ANA M		SANTOS PAULINO	AS	Female	1988-03-05	57248		057248	889-86-8589	Hispanic	4937776	Non-Clinical	No		DOM. REP.	S	0	E	Terminated	1973624		2025-07-03		2024-09-13	10377875	10048700	0		1140296	2024-09-13	10110783	CERTIFIED/ VICTORIA	No			N	2024-09-27	-1	-1	N						1	0	0	0		2024-10-23	2025-03-05	Eastern
337	11876	4226897	2025-07-07 15:57:33.300	MARIA	ALTAGRACIA	CORDERO PAREDES	MC	Female	1965-12-08	57646		057646	851-46-7907	Hispanic	5055810	Non-Clinical	No		DOMINICAN REPUBLIC	S	0	E	Terminated	1973624		2025-07-03		2024-09-13	10379812	10048700	0	Healthfirst, VNS Health Health Plans	1185511	2024-09-13	10110816	WANDALIS PEREZ	No			N	2024-12-18	4	-1	Y						1	0	0	0		2025-01-05	2025-03-08	Eastern
337	11876	4218403	2025-07-07 15:59:49.923	NILY		TOUSSAINT HERNANDEZ	NT	Female	1966-09-08	57583		057583	831-43-0299	Hispanic	5061031	Non-Clinical	No		DOMINICAN REPUBLIC	S	0	E	Terminated	1973624		2025-07-03		2024-10-16	10379812	10048700	0	Healthfirst, Molina Health New York	1192429	2024-10-16	10110816	ISMAIRA RIVERS	No			N	2024-11-06	4	-1	Y						1	0	0	0		2024-11-08	2025-03-09	Eastern
337	11876	3943581	2025-07-07 16:00:43.310	KEISHA	ANN MARIE	PEART POWELL	KP	Female	1978-10-04	55327		055327	767-68-2553	African American	4894361	Non-Clinical	No		JAMAICA	M	0	E	Terminated	1973624		2025-07-03		2024-01-23	10377875	10048700	0	CenterLight HealthCare (PACE), Healthfirst, VNS Health Health Plans	683492	2024-01-23	10098470	CERTIFIED-HYPE-PARK DAWN.B	No			N	2024-04-19	6	-1	Y	2028-11-26					2	0	0	0		2024-05-15	2025-03-10	Eastern
337	11876	4105151	2025-07-07 16:01:55.700	SANDRA	B	JOHN	SJ	Female	1960-03-18	56496		056496	102-80-4150	African American	4358963	Non-Clinical	No		TRINIDAD			E	Terminated	1973624		2025-07-03		2024-07-26	10377875	10048700	0	CenterLight HealthCare (PACE)	505922		10116586	CERTIFIED	No			N	2024-09-03	8	1	Y						2	0	0	0		2024-11-02	2025-03-16	Eastern
337	11876	4212872	2025-07-07 16:02:51.143	ASMAT	Y	ROBERT	AR	Female	1967-07-20	57482		057482	812-91-1991	Indian	5077541	Non-Clinical	No		PAKISTAN			E	Terminated	1973624		2025-07-03		2024-07-01	10377885	10048700	0	Healthfirst	1217212	2024-12-03	10115599	TRAINEE	No			N	2024-12-04	6	-1	Y	2029-02-19					2	0	0	0		2024-12-09	2025-03-17	Eastern
337	11876	4067545	2025-07-07 16:04:11.910	ROSA	M	PINARGOTE BRAVO	RP	Female	1955-10-28	56137		056137	731-16-1515	Hispanic	4422619	Non-Clinical	No		ECUADOR	M	0	E	Terminated	1973624		2025-07-03		2024-06-27	10377885	10048700	0	Elderplan MJHS, Healthfirst	00776678	2024-06-27	10110816	CERTIFIED (XIOMARA LOPEZ)	No			N	2024-07-09	7	1	Y						1	0	0	0		2024-07-18	2025-03-18	Eastern
337	11876	4125263	2025-07-07 16:05:16.440	MIRLANDE		TOUSSAINT	MT	Female	1977-08-05	56770		056770	057-02-8280	Caucasian	1657029	Non-Clinical	No					E	Terminated	1973624		2025-07-03		2024-08-14	10379812	10048700	0	Centerlight CHHA / Cassena Care At Home, CenterLight HealthCare (PACE), Fidelis Care, Healthfirst	224486		10116586		No			N	2024-09-19	1	-1	Y						2	0	0	0		2024-09-24	2025-03-28	Eastern
337	11876	3629433	2025-07-07 16:07:04.893	NINA		PASHENKO	NP	Female	1959-01-14	53795		053795	128-82-6212	Caucasian			No		Uzbekistan	S	0	E	Terminated	1973624		2025-07-03		2023-05-15	10377875	10048700	0		392847	2023-05-15	10110773	CERTIFIED	No			N	2023-05-23	1	-1	Y						7	2	0	0		2023-05-28	2025-03-31	Eastern
337	11876	4360745	2025-07-07 16:09:36.643	MARIA		KIGONGO	MK	Female	1983-04-16	58626		058626	712-21-6268	African American	4576671	Non-Clinical	No		UGANDA,KAMPALA	S	0	E	Terminated	1973624		2025-07-03		2025-02-25	10377885	10048700	0	Fidelis Care	01022626	2025-02-25	10110783	CERTIFIED	No			N	2025-03-04	6	-1	Y	2025-06-19					2	0	0	0		2025-04-21	2025-04-21	Eastern
337	11876	3862313	2025-07-07 16:10:47.983	YULIIA		KUZMENKO	YK	Female	1970-03-12	54832		054832	736-29-7355	Caucasian			No		UKRAINE	S	0	E	Terminated	1973624		2025-07-03		2023-12-14	10377875	10048700	0	Healthfirst	1020633	2023-12-14	10110773	CERTIFIED	No			N	2023-12-20	6	-1	Y	2026-10-11					7	0	0	0		2024-01-02	2025-04-03	Eastern
337	11876	4231318	2025-07-07 16:15:05.680	ROSELY		DURAN MORETA	RD	Female	1999-02-10	57689		057689	759-73-0096	Hispanic			No		DOMINICAN REPUBLIC	S	0	E	Terminated	1865148		2025-07-03		2024-08-19	10379812	10048700	0		1166317	2024-08-19	10110816	WANDALIS PEREZ	No			N	2025-03-03	4	-1	Y						1	0	0	0				Eastern
337	11876	4331874	2025-07-07 16:17:18.403	JEANNY	SONLANYI	GUTIERREZ DE MENDONZA	JG	Female	1990-02-10	58381		058381	286-69-4826	Hispanic			No		DOMINICAN REPUBLIC	M	1	E	Terminated	1865148		2025-07-03		2025-01-30	10379812	10048700	0		1224502		10110816	WAndalis	No			N	2025-03-06	4	-1	Y						1	0	0	0				Eastern
337	11876	4332087	2025-07-07 16:27:25.313	JOSE	ANTONIO	HERNANDEZ MIJANGOS	JH	Male	1985-06-09	58386		058386	844-37-6851	Hispanic	5142296	Non-Clinical	No		MEXICO	M	0	E	Terminated	1865148		2025-07-03		2025-02-10	10379812	10048700	0		1257163		10115599		No			N	2025-03-03	6	-1	Y	2029-10-07					1	0	0	0				Eastern
337	11876	4355500	2025-07-07 16:28:12.937	MELISA		MUNOZ DE FERNANDEZ	MM	Female	1991-03-15	58584		058584	066-41-9120	Hispanic	1217763	Non-Clinical	No		DOMINICANA REPUBLIC	S	0	E	Terminated	1865148		2025-07-03		2025-02-25	10379812	10048700	10096393		737235	2025-02-25	10098470	SQUANIA MENTON	No			N	2025-03-04	4	-1	Y						1	0	0	0				Eastern
337	11876	4334474	2025-07-07 16:28:53.563	ZOILA	AURORA	INTRIAGO ROMERO	ZI	Female	1968-01-22	58410		058410	203-75-5789	Hispanic	4639264	Non-Clinical	No		ECUADOR	M	1	E	Terminated	1865148		2025-07-03		2024-07-31	10377885	10048700	0	Girling Health Care Of New York	01040433	2025-03-04	10110816	CERTIFIED(CASTULA KING MEDINA)	No			N	2025-03-04	4	-1	Y						1	0	0	0				Eastern
337	11876	4321843	2025-07-07 16:29:49.390	MARIA	ROSEANGEL GOMEZ	PADILLA TONATO	MP	Female	1976-12-28	58309		058309	533-97-1600	Hispanic	5121229	Non-Clinical	No		ECUADOR	S	0	E	Terminated	1865148		2025-07-03		2025-01-27	10377885	10048700	0		01217823	2025-01-27	10110783	CERTIFIED ( MIGDALIA PEREZ)	No			N	2025-03-04	6	-1	Y	2028-11-14					1	0	0	0				Eastern
337	1282	4389185	2025-07-07 16:31:39.223	NARBYS	MAIBELYN	ROJAS	NR	Female	1987-05-28	58858		058858	794-44-8796	Hispanic		Non-Clinical	No		VENEZUELA	M	0	E	Terminated	1865148		2025-07-03		2025-01-09	10379825	10048750	0		1155847		10115612		No			N	2025-03-24	6	-1	Y	2029-03-07					1	0	0	0				Eastern
337	11876	4320316	2025-07-07 16:59:40.863	RENATA		ZAGULA	RZ	Female	1970-03-10	58290		058290	104-82-2573	Caucasian			No		POLAND	S		E	Terminated	1865148	Client will NOT transfer as per Vitalina	2025-04-29		2024-12-04	10377875	10048700	10096402		195909	2025-02-05	10110773	CERTIFIED	No			N	2025-02-05	1	-1	Y						13	7	0	0				Eastern
337	11876	4703269	2025-07-08 11:22:09.743	JANETH		GUERRERO NUNEZ	JG	Female	1968-05-08	59581		059581	657-50-3214	Hispanic			No		COLOMBIA	S	0	A	Rejected	0	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.	2025-07-08		2025-06-09	10379812	10048700	10096393		1330609	2025-06-09	10115599		No			N		4	-1	Y						1	0	0	0				Eastern
337	11876	4703295	2025-07-08 11:24:59.213	SANTOS		AYALA	SA	Female	1971-11-02	59585		059585	122-88-4841	Hispanic		Non-Clinical	No		HONDURAS	S	2	A	Rejected	0		2025-07-08		2025-06-12	10379812	10048700	10096393			2025-06-12	-1		No			N		6	-1	Y	2025-07-05					1	0	0	0				Eastern
337	11876	4109129	2025-07-08 11:58:27.293	SHENIQUE		SEALE	SS	Female	1993-01-25	56555		056555	130-80-3470	African American	1147764	Non-Clinical	No		U.S.A.	S	3	E	Terminated	1973624		2024-12-18		2024-07-11	10377885	10048700	0	Fidelis Care, RiverSpring Health Plans, VNS Health Health Plans	0364517	2024-08-05	10111477	CERTIFIED	No			N	2024-08-05	7	1	Y						2	0	0	0		2024-08-06	2024-08-19	Eastern
337	11876	3737641	2025-07-08 12:20:11.750	YOLANDA	DEL CARMEN	TAVAREZ DE LIZ	YT	Female	1973-07-29	54313		054313	880-20-7149	Hispanic	4786142	Non-Clinical	No		SANTO dOMINGO	M		E	Terminated	1865148	Verbal Resignation	2024-03-27		2023-08-04	10377885	10048700	0		00983637	2023-10-26	10098470	CERTIFIED	No			N	2023-10-26	4	-1	Y						1	0	0	0				Eastern
337	11876	3688110	2025-07-08 12:39:21.693	JORDAN	D'IOR	WONG HEYWARD	JW	Male	1998-02-26	54061		054061	134-86-9556	African American	4692139	Non-Clinical	No		USA	S	0	E	Terminated	1973624		2024-09-10		2023-06-13	10377885	10048700	0	RiverSpring Health Plans, VNS Health Health Plans	1057178	2023-07-20	10097385	TRAINEE	No			N	2023-07-20	8	1	Y						2	0	0	0		2023-07-22	2024-04-19	Eastern
337	11876	3676719	2025-07-08 12:53:19.667	MARIA		MENA DE NUNEZ	MM	Female	1988-03-27	54016		054016	870-79-9847	Hispanic	4374089	Non-Clinical	No		DOMINICAN REPUBLIC	S	1	E	Terminated	1865148	NEVER WORKED	2023-12-13		2023-06-30	10377885	10048700	0	Healthfirst	00732779	2023-07-20	10110398	CERTIFIED	No			N	2023-07-20	4	-1	Y						1	0	0	0				Eastern
337	11876	2939024	2025-07-08 15:07:30.080	THERESA		SMITH	TS	Female	1944-02-06	51753	131909806	900130	131-90-9806	African American	4993801	Non-Clinical	No					E	Terminated	2209722	Resignation	2025-07-07		2022-01-01	0	10048700	0	Elderplan MJHS, Excellent Home Care Services, Fidelis Care, Girling Health Care Of New York, Healthfirst, RiverSpring Health Plans, SWHNY-MLTC, VNS Health Health Plans	150506		-1		No			N	2022-01-01	8	1	Y						2	0	0	0		2022-02-26	2025-07-05	Eastern
337	11876	4410832	2025-07-09 11:08:36.750	ALICIA	DAYANA	SANCHEZ PAREDES	AS	Female	1988-02-04	58994		058994	099-65-3718	Hispanic			No		ECUADOR	M	1	A	Rejected	0	THIS AIDE HAS MISSED 4 NEW HIRE CLASS/ORIENTATIONS IN A ROW. REJECTING AS SHE HAS ANOTHER JOB AND CANNOT COME AT THE MOMENT.	2025-07-09		2025-04-04	10379812	10048700	0		1090895	2025-04-04	10110783		No			N		-1	-1	N						1	0	0	0				Eastern
337	11876	4321832	2025-07-10 09:53:25.827	DILAFRUZ		RADJABOVA	DR	Female	1977-03-09	58308		058308	207-25-9695	Caucasian			No					E	Terminated	1973624		2025-06-19		2025-01-25	10377875	10048700	0		921406		10110783	CERTIFIED	No			N	2025-02-11	4	-1	Y						2	7	0	0				Eastern
337	11880	4013877	2025-07-10 12:06:09.460	LAKIM		LUSTER	LL	Male	1982-08-02	55801		055801	102-66-0032	Unknown			No			S	0	E	Terminated	1865148		2025-07-10		2024-05-07	10379816	10048707	0				10110820		No			N	2024-05-16	7	6	N						2	0	0	0				Eastern
337	11876	3668271	2025-07-10 14:47:28.097	NICAURY	E.	GIL	NG	Female	1998-11-03	53965		053965	810-41-7623	Hispanic	4610596	Non-Clinical	No		DOMINICAN REPUBLIC	S	1	E	Terminated	1973624		2024-01-16		2023-06-01	10377885	10048700	0	Elderplan MJHS, Healthfirst	00927552	2023-10-05	10110783	CERTIFIED	No			N	2023-10-05	4	-1	Y						1	2	0	0		2023-10-06	2023-10-26	Eastern
337	11876	902927	2025-07-10 15:21:53.613	SHARESE	A	TAYLOR	ST	Female	1971-05-29	44772	087621738	044772	087-62-1738	African American	1597680	Non-Clinical	Yes	2023-10-26	USA	S	0	E	Terminated	1973611	Aide never came to address pattern of No Show/No Call	2024-06-24		2016-10-28	10377885	10048700	0	Healthfirst	00634035	2023-10-26	10110388	CERTIFIED	No			N	2017-04-17	8	1	Y						0	0	0	0		2023-10-27	2023-10-30	Eastern
337	11876	4034746	2025-07-10 15:24:54.073	YUSEIRA	NAIDELIN	RODRIGUEZ TOVAR	YR	Female	1989-12-10	55991		055991	759-24-6254	Hispanic	4935892	Non-Clinical	No		VENEZUELA	M	2	E	Terminated	1865148		2024-12-16		2024-05-28	10377885	10048700	0		01134277	2024-07-18	10115599	CERTIFIED	No			N	2024-07-18	6	-1	Y	2025-04-02					1	0	0	0				Eastern
337	11876	3793086	2025-07-10 17:09:59.510	VALARIE	JOYCELYN	JOHNSON	VJ	Female	1972-09-20	54429		054429	124-96-6970	African American	4786100	Non-Clinical	No		ST. VINCENT/GRENADINES	S	0	E	Terminated	1973624		2024-11-07		2023-10-03	10377885	10048700	0	Elderplan MJHS, Fidelis Care	832122	2023-10-26	10097425	CERIFIED	No			N	2023-10-26	4	-1	Y						2	0	0	0		2023-10-31	2024-06-14	Eastern
337	11876	4738439	2025-07-11 09:42:13.343	JENNIFER		RODRIGUEZ	JR	Female	1989-10-09	59738		059738	086-76-5081	Hispanic		Non-Clinical	No		DOMINICAN REPUBIC	S	0	A	Rejected	0				2025-03-13	10377875	10063842	10096402				10098380		No			N		0	0							1	0	0	0				Eastern
337	11880	4346601	2025-07-11 09:48:35.830	IVAN		PLUZHNIK	IP	Male	1954-10-14	58482		058482	067-90-5170	Caucasian			No		RUSIA		0	A	Rejected	0				2025-02-20	10377879	10048707	0				10110820	PA	No			N		0	0							0	0	0	0				Eastern
337	11876	4392701	2025-07-11 10:13:50.400	GLORIA	MARGARITA	YAURI INGA	GY	FEMALE	1976-05-18	58882		058882	727-65-7029	Hispanic	5023702	Non-Clinical	No		Ecuador	S	0	E	Terminated	-1	Caregiver inactive for 90 days	2025-07-11		2024-09-10	10379812	10048700	0		01177889	2024-09-06	0		No			N	2025-03-27	6	-1	Y	2027-06-05					1	0	0	0		2025-04-05	2025-04-12	Eastern
337	11876	4102404	2025-07-11 10:24:57.980	BLESSING		UWAKWE	BU	FEMALE	1981-12-07	56447		056447	674-65-9608	African American	4518501	Non-Clinical	No		NIGERIA			E	Terminated	-1	Caregiver inactive for 90 days	2025-07-09		2024-07-25	10377875	10048700	0		1018230	2024-07-25	0	CERTIFIED	No			N	2024-08-28	6	-1	Y	2026-02-10					2	0	0	0		2024-10-01	2025-04-10	Eastern
337	11876	4316430	2025-07-11 10:29:01.227	EDNA		AMPOFO	EA	FEMALE	1989-11-15	58251		058251	091-96-8557	African American	5120076	Non-Clinical	No		GHANA	S	0	E	Terminated	-1	Caregiver inactive for 90 days	2025-07-10		2025-01-16	10379812	10048700	0		1220590		0		No			N	2025-02-04	8	1	Y						2	0	0	0		2025-04-05	2025-04-11	Eastern
337	11876	3984900	2025-07-11 10:30:14.183	PATRICIA		WARMINGTON	PW	FEMALE	1956-11-22	55618		055618	119-67-4198	African American	1143612	Non-Clinical	No			S	0	E	Terminated	-1	Caregiver inactive for 90 days	2025-07-10		2024-04-16	10377875	10048700	0		694186	2024-04-16	0	CERTIFIED BROWN CHERRINE	No			N	2024-04-19	8	1	Y			532-481-908			2	0	0	0		2024-05-02	2025-04-11	Eastern
337	11876	4660050	2025-07-11 11:02:50.493	CARLA	DARLENA	MARIN GARCIA	CM	Female	1978-05-19	59383		059383	848-90-5032	Hispanic		Non-Clinical	No		HONDURAS	S	1	A	Rejected	0	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.	2025-07-11		2025-05-20	10379812	10048700	10096393		1011213	2025-05-20	10115599		No			N		6	-1	Y	2026-11-21					1	0	0	0				Eastern
337	11876	4715274	2025-07-11 12:46:44.190	BLANCA	NUBE	TAMAY TACURI	BT	Female	1993-12-29	59625		059625	063-57-8545	Hispanic			No		ECUADOR			A	Rejected	0	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.	2025-07-11		2025-06-20	10377885	10048700	0		01062896		10098390	CERTIFIED(MICAELA GRANDE)	No			N		0	0							1	0	0	0				Eastern
337	11880	4109863	2025-07-11 13:36:35.860	THIKRA		AWAD	TA	Female	1989-02-10	56571		056571	194-65-5574	Unknown	5008300	Non-Clinical	No		YEMEN	M	0	E	Terminated	0	PPL TRANSITION	2025-07-11		2024-07-03	10379816	10048707	0				10110820	PA	No			N	2024-08-15	8	1	Y						11	0	0	0		2024-09-10	2025-03-28	Eastern
337	11880	4139937	2025-07-11 13:37:36.127	STEFANI		BONIFACIO	SB	Female	1991-06-24	56986		056986	779-50-3014	Hispanic			No		DOMINICAN REPUBLIC	S	0	E	Terminated	0	PPL TRANSITION	2025-07-11		2024-08-15	10379816	10048707	0	Fidelis Care			10110820	PA	No			N	2024-10-02	4	-1	Y						1	0	0	0		2024-10-13	2025-03-30	Eastern
337	11880	4138052	2025-07-11 13:39:10.010	BLANCA		LEMA PAGUAY	BL	Female	1972-10-14	56979		056979	068-86-8593	Hispanic			No		ECUADOR	S	0	E	Terminated	0	PPL TRANSITION	2025-07-11		2024-08-19	10379816	10048707	0	Elderplan MJHS			10110820	PA	No			N	2024-09-05	7	1	Y						1	0	0	0		2024-09-09	2025-02-20	Eastern
337	11880	4011496	2025-07-11 13:39:42.513	SUZETTE		POWNALL	SP	Female	1972-08-26	55784		055784	603-89-0444	Unknown			No		JAMAICA	M	0	E	Terminated	0	PPL TRANSITION	2025-07-11		2024-05-06	10379816	10048707	0				10110820	PA	No			N	2024-05-15	8	1	N						2	0	0	0		2024-05-17	2025-02-13	Eastern
337	11880	4000966	2025-07-11 13:40:22.683	MARIA		PEGUERO DE DE LOS SANTOS	MP	Female	1968-01-02	55723		055723	050-33-2454	Hispanic			No			S	0	E	Terminated	0	PPL TRANSITION	2025-07-11		2024-04-26	10379816	10048707	0	Molina Health New York, SWHNY-MLTC			10110820	PA	No			N	2024-05-31	4	-1	Y			MISSING			1	0	0	0		2024-06-13	2024-12-06	Eastern
337	11880	3967723	2025-07-11 13:41:21.230	HILAH		OTTMAN	HO	Female	1998-10-19	55480		055480	077-88-8453	Unknown	1551821	Non-Clinical	No		UNITED STATES	S	0	E	Terminated	0	PPL TRANSITION	2025-07-11		2024-03-25	10379816	10048707	0				10110820	PA	No			N	2024-04-26	1	-1	N						2	0	0	0		2024-05-01	2025-03-31	Eastern
337	11880	4105491	2025-07-11 13:42:06.367	DENA		THURMAN	DT	Female	1999-10-07	56497		056497	119-88-5872	Unknown			No		UNITED STATES	S	0	E	Terminated	0	PPL TRANSITION	2025-07-11		2024-07-25	10379816	10048707	0				10110820	PA	No			N	2024-08-08	7	1	Y						2	0	0	0				Eastern
337	11880	4126389	2025-07-11 13:42:51.993	MIREYA		MARTINEZ	MM	Female	1957-11-23	56785		056785	079-76-3382	Hispanic			No			S	0	E	Terminated	0	PPL TRANSITION	2025-07-11		2024-08-09	10379816	10048707	0	Elderplan MJHS			10110820	PA	No			N	2024-09-24	8	1	Y						1	0	0	0		2024-10-01	2025-03-31	Eastern
337	11876	4269654	2025-07-11 14:06:07.730	MARIA	YOKASTA JOSEFINA	RUIZ DE PAULINO	MR	Female	1964-06-15	57928		057928	649-73-4116	Hispanic			No		DOMINICAN REPUBLIC	S		E	Terminated	1973624		2025-07-03		2024-12-06	10379812	10048700	0	VNS Health Health Plans	521534		10110816	WANDALIS PEREZ	No			N	2024-12-26	4	-1	Y						1	0	0	0		2025-02-12	2025-02-12	Eastern
337	11876	4274790	2025-07-11 14:23:17.587	JESUS	ALBERTO	JIMENEZ ABAD	JJ	Male	1998-08-12	57972		057972	822-33-3174	Hispanic	5088137	Non-Clinical	No		DOMINICAN REPUBLIC	S		E	Terminated	1973624		2025-07-03		2024-12-12	10379812	10048700	0		1208982		10115599		No			N	2025-01-08	6	-1	Y	2029-02-27					1	0	0	0		2025-02-06	2025-02-07	Eastern
337	11876	4055601	2025-07-11 14:32:00.803	KADIATOU		BANGOURA	KB	Female	2001-02-28	56112		056112	006-63-9480	African American	4588202	Non-Clinical	No		GUINEA	S	0	E	Terminated	1973624		2025-07-03		2024-04-25	10379812	10048700	0	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	1024866		10115599		No			N	2024-07-02	8	1	Y						2	0	0	0		2024-07-09	2025-02-18	Eastern
337	11876	4120693	2025-07-12 08:51:23.607	JODALMA	EUGENIA	DE LA ROSA PEREZ	JD	FEMALE	1994-12-25	56710		056710	802-33-2463	Hispanic	4990219	Non-Clinical	No		DOMINICAN REPUBLIC	S	1	E	Terminated	-1	Caregiver inactive for 90 days	2025-07-12		2024-07-29	10379812	10048700	0		1157387	2024-07-29	0		No			N	2024-08-15	6	-1	Y	2029-02-05					1	0	0	0		2024-08-17	2025-04-13	Eastern
337	11876	4253394	2025-07-12 08:51:27.667	MARIE	GARCIA SANDRA	ARCHIBAL	MA	FEMALE	1973-01-02	57826		057826	362-99-1663	Asian			No			S	0	E	Terminated	-1	Caregiver inactive for 90 days	2025-07-12		2024-10-30	10377875	10048700	0		1152807		0	certified- -PIERRE GUETIENSTA	No			N	2024-12-06	6	-1	Y	2026-11-18					2	0	0	0		2024-12-10	2025-04-12	Eastern