Provider Demographics
NPI:1164771580
Name:WESTCHESTER HOMECARE INC
Entity Type:Organization
Organization Name:WESTCHESTER HOMECARE INC
Other - Org Name:FIRSTLIGHT HOMECARE OF WESTCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-215-1915
Mailing Address - Street 1:344 E MAIN ST
Mailing Address - Street 2:SUITE LL004
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3027
Mailing Address - Country:US
Mailing Address - Phone:914-215-1915
Mailing Address - Fax:914-315-8256
Practice Address - Street 1:344 E MAIN ST
Practice Address - Street 2:SUITE LL004
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3027
Practice Address - Country:US
Practice Address - Phone:914-215-1915
Practice Address - Fax:914-315-8256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2139L001253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care