MEDICARE: HUDSON VALLEY CARE CENTERS, INC

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
1	314000000X	Skilled Nursing Facility	4551	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	301837	OTHER	NY	WELLCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912919572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON VALLEY CARE CENTERS, INC

Provider Business Mailing Address
First Line	:	25-35 RAILROAD SQ.
Second Line	:	SUITE 302
City	:	HAVERHILL
State	:	MA
Zip	:	01830
Country	:	US
Telephone Number	:	978-556-5800
Fax Number	:	978-521-2592

Provider Business Practice Location Address
First Line	:	ONE WHITTIER WAY
Second Line	:
City	:	GHENT
State	:	NY
Zip	:	12075
Country	:	US
Telephone Number	:	518-828-0800
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT OF FINANCE
Name	:	MR. PHILIP M ARCIDI
Credential	:
Telephone Number	:	978-556-5900

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	09/13/2016

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