Healthcare Provider Details

I. General information

NPI: 1609926195
Provider Name (Legal Business Name): LITSON CERTIFIED CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CORPORATE BLVD
NEWBURGH NY
12550-6416
US

IV. Provider business mailing address

901 HUGH WALLIS RD S
LAFAYETTE LA
70508-2511
US

V. Phone/Fax

Practice location:
  • Phone: 845-561-3655
  • Fax: 845-561-0252
Mailing address:
  • Phone: 337-233-1307
  • Fax: 337-443-4154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number3502601
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number3502601
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3502601
License Number StateNY

VIII. Authorized Official

Name: JOSHUA L PROFFITT
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307