1144423831 NPI number — YEDEI CHESED INC

Table of content: (NPI 1144423831)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144423831 NPI number — YEDEI CHESED INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YEDEI CHESED INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144423831
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
48 SCOTLAND HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHESTNUT RIDGE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10977-5837
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-425-0887
Provider Business Mailing Address Fax Number:
845-425-7853

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
48 SCOTLAND HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHESTNUT RIDGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10977-5837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-425-0887
Provider Business Practice Location Address Fax Number:
845-425-7853
Provider Enumeration Date:
06/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LAUBER
Authorized Official First Name:
SIMON
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
845-425-0887

Provider Taxonomy Codes

  • Taxonomy code: 385HR2060X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1790963 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2102692 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2604231 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2703386 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2356669 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2006086 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2610722 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2758285 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2292620 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2200140 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1494408 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2252826 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2625258 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2000291 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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