Healthcare Provider Details

I. General information

NPI: 1154592632
Provider Name (Legal Business Name): BELVEDERE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VAN TROMP ST
ALBANY NY
12207-2213
US

IV. Provider business mailing address

1 VAN TROMP ST
ALBANY NY
12207-2213
US

V. Phone/Fax

Practice location:
  • Phone: 518-694-9400
  • Fax: 518-694-4419
Mailing address:
  • Phone: 518-694-9400
  • Fax: 518-694-4206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN H MCCOOEY JR.
Title or Position: PRESIDENT
Credential:
Phone: 518-694-9400