Healthcare Provider Details

I. General information

NPI: 1912919572
Provider Name (Legal Business Name): HUDSON VALLEY CARE CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE WHITTIER WAY
GHENT NY
12075
US

IV. Provider business mailing address

25-35 RAILROAD SQ. SUITE 302
HAVERHILL MA
01830
US

V. Phone/Fax

Practice location:
  • Phone: 518-828-0800
  • Fax:
Mailing address:
  • Phone: 978-556-5800
  • Fax: 978-521-2592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4551
License Number StateNY

VIII. Authorized Official

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