Provider Demographics
NPI:1144423831
Name:YEDEI CHESED INC
Entity Type:Organization
Organization Name:YEDEI CHESED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-425-0887
Mailing Address - Street 1:48 SCOTLAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5837
Mailing Address - Country:US
Mailing Address - Phone:845-425-0887
Mailing Address - Fax:845-425-7853
Practice Address - Street 1:48 SCOTLAND HILL RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-5837
Practice Address - Country:US
Practice Address - Phone:845-425-0887
Practice Address - Fax:845-425-7853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1790963Medicaid
NY2102692Medicaid
NY2604231Medicaid
NY2703386Medicaid
NY2356669Medicaid
NY2006086Medicaid
NY2610722Medicaid
NY2758285Medicaid
NY2292620Medicaid
NY2200140Medicaid
NY1494408Medicaid
NY2252826Medicaid
NY2625258Medicaid
NY2000291Medicaid