Healthcare Provider Details

I. General information

NPI: 1639175839
Provider Name (Legal Business Name): HEALTH QUEST HOME CARE, INC. (CERTIFIED)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2649 SOUTH ROAD SUITE 220
POUGHKEEPSIE NY
12601-5252
US

IV. Provider business mailing address

2649 SOUTH ROAD SUITE 220
POUGHKEEPSIE NY
12601-5252
US

V. Phone/Fax

Practice location:
  • Phone: 845-471-4243
  • Fax: 845-471-0642
Mailing address:
  • Phone: 845-471-4243
  • Fax: 845-471-0642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number9004L001
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number9004L001
License Number StateNY

VIII. Authorized Official

Name: DANIEL JOSEPH DEBARBA
Title or Position: CFO
Credential:
Phone: 203-314-6990