Provider Demographics
NPI:1083828222
Name:STAFCARE OF NY
Entity Type:Organization
Organization Name:STAFCARE OF NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLEUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-722-0913
Mailing Address - Street 1:PO BOX 1855
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13902-1855
Mailing Address - Country:US
Mailing Address - Phone:607-722-0913
Mailing Address - Fax:607-724-5465
Practice Address - Street 1:138 COURT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-3513
Practice Address - Country:US
Practice Address - Phone:607-722-0913
Practice Address - Fax:607-722-8763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0401L001251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02138374Medicaid