MEDICARE: VILLAGE CARE ADHCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	7002335N	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831207513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE CARE ADHCP

Provider Business Mailing Address
First Line	:	154 CHRISTOPHER ST, S.2D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-2840
Country	:	US
Telephone Number	:	212-337-5600
Fax Number	:	212-337-5839

Provider Business Practice Location Address
First Line	:	121 A WEST 20TH STREET
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-3601
Country	:	US
Telephone Number	:	212-337-5600
Fax Number	:	212-337-5839

Authorized Official
Title or Position	:	CFO
Name	:	RACHEL AMALFITANO
Credential	:
Telephone Number	:	212-337-5816

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	06/27/2013

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Directions to “VILLAGE CARE ADHCP ” Practice Location

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