Provider Demographics
NPI:1205041829
Name:UPR CARE CORP.
Entity Type:Organization
Organization Name:UPR CARE CORP.
Other - Org Name:COLD SPRING HILLS CENTER FOR NURSING AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR LONG TERM PROGRAM
Authorized Official - Prefix:MS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-622-7828
Mailing Address - Street 1:378 SYOSSET WOODBURY RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1200
Mailing Address - Country:US
Mailing Address - Phone:516-622-7828
Mailing Address - Fax:
Practice Address - Street 1:378 SYOSSET WOODBURY RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-1200
Practice Address - Country:US
Practice Address - Phone:516-622-7828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPR CARE CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-14
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2952902L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01011421Medicaid
NY337221Medicare Oscar/Certification