Basic Information
| Provider Information | |||||||||
| NPI: | 1710017876 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUDSON VALLEY HOME CARE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 PINE STREET SPUR | ||||||||
| Address2: | LOWER LEVEL | ||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126013943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454714243 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 PINE STREET SPUR | ||||||||
| Address2: | LOWER LEVEL | ||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126013943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454714243 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2007 | ||||||||
| LastUpdateDate: | 05/22/2014 | ||||||||
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| AuthorizedOfficialLastName: | COOGAN | ||||||||
| AuthorizedOfficialFirstName: | CATHERINE | ||||||||
| AuthorizedOfficialMiddleName: | L. | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8454714243 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 9004L001 | NY | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 03006246 | 05 | NY | MEDICAID | 00846951 | 05 | NY | MEDICAID | 00944761 | 05 | NY | MEDICAID |