Healthcare Provider Details

I. General information

NPI: 1629145602
Provider Name (Legal Business Name): WHITTIER HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WHITTIER WAY
GHENT NY
12075-3319
US

IV. Provider business mailing address

30 WHITTIER WAY
GHENT NY
12075-3319
US

V. Phone/Fax

Practice location:
  • Phone: 518-828-0900
  • Fax: 518-828-1201
Mailing address:
  • Phone: 518-828-0900
  • Fax: 518-828-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number200E005
License Number StateNY

VIII. Authorized Official

Name: MR. PHILIP M ARCIDI
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 978-556-5900