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General NPI Number Information
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NPI Number | 1851280200
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Entity Type | Organization
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Legal Business Name | HUDSON RIVER HEALTHCARE PROVIDERS LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 27 MUDDY POND RD
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City | STERLING
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State | MA
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Zip | 01564-2602
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Country | US
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Telephone | 718-666-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 27 MUDDY POND RD
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City | STERLING
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State | MA
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Zip | 01564-2602
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Country | US
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Telephone | 617-767-2544
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Fax | 857-832-5207
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Authorized Official
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Title or Position | NURSE MANAGER
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Name | MR. TOMAS SOLIS DOMECILLO III
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Credential | RN
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Telephone | 617-767-2544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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