Healthcare Provider Details

I. General information

NPI: 1699776435
Provider Name (Legal Business Name): EVERCARE CHOICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 CERONE PLACE
NEWBURGH NY
12550-5104
US

IV. Provider business mailing address

31 CERONE PL
NEWBURGH NY
12550-5104
US

V. Phone/Fax

Practice location:
  • Phone: 845-569-0500
  • Fax: 845-569-1887
Mailing address:
  • Phone: 845-569-0500
  • Fax: 845-569-1887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number01825947
License Number StateNY

VIII. Authorized Official

Name: SYLVIA MCTIGUE
Title or Position: PRESIDENT CEO
Credential:
Phone: 845-725-1101