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NPI Code Detail

MEDICARE: VILLAGE CENTER FOR CARE

MEDICARE: VILLAGE CENTER FOR CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility7002335NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396743464
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE CENTER FOR CARE
Provider Business Mailing Address
First Line : 120 BROADWAY STE 2840
Second Line :
City : NEW YORK
State : NY
Zip : 10271-0009
Country : US
Telephone Number : 212-337-5816
Fax Number : 212-337-5710
Provider Business Practice Location Address
First Line : 214 WEST HOUSTON ST
Second Line :
City : NEW YORK
State : NY
Zip : 10014
Country : US
Telephone Number : 212-337-9407
Fax Number : 212-255-9459
Authorized Official
Title or Position : CFO
Name : DEBRA TIRADO
Credential :
Telephone Number : 212-337-5710
Provider Enumeration Date : 07/12/2005
Last Update Date : 10/04/2019

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Directions to “VILLAGE CENTER FOR CARE ” Practice Location

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