1942208152 NPI number — VISITING NURSE ASSOCIATION OF HUDSON VALLEY

Table of content: (NPI 1942208152)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942208152 NPI number — VISITING NURSE ASSOCIATION OF HUDSON VALLEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISITING NURSE ASSOCIATION OF HUDSON VALLEY
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:
6
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:
1942208152
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
540 WHITE PLAINS RD
Provider Second Line Business Mailing Address:
SUITE: 300
Provider Business Mailing Address City Name:
TARRYTOWN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10591-5132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-666-7616
Provider Business Mailing Address Fax Number:
914-666-9514

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
540 WHITE PLAINS RD
Provider Second Line Business Practice Location Address:
SUITE: 300
Provider Business Practice Location Address City Name:
TARRYTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-666-7616
Provider Business Practice Location Address Fax Number:
914-666-9514
Provider Enumeration Date:
07/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CUSACK
Authorized Official First Name:
MICHELE
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
SENIOR VICE PRESIDENT & CFO
Authorized Official Telephone Number:
516-321-6058

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  5920600 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0032198 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com