Provider Demographics
NPI:1043506322
Name:ADG HEALTH CARE HOLDINGS INC
Entity Type:Organization
Organization Name:ADG HEALTH CARE HOLDINGS INC
Other - Org Name:COMFORCARE NORTH EAST WESTCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-279-9434
Mailing Address - Street 1:16 MOUNT EBO RD S
Mailing Address - Street 2:SUITE 14A
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-4037
Mailing Address - Country:US
Mailing Address - Phone:845-363-1336
Mailing Address - Fax:
Practice Address - Street 1:16 MOUNT EBO RD S
Practice Address - Street 2:SUITE 14A
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4037
Practice Address - Country:US
Practice Address - Phone:845-363-1336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care