Provider Demographics
NPI:1285638775
Name:CAREFIRST NY, INC.
Entity Type:Organization
Organization Name:CAREFIRST NY, INC.
Other - Org Name:SOUTHERN TIER HOSPICE AND PALLIATIVE CARE (FORMERLY)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-962-3100
Mailing Address - Street 1:3805 MEADS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PAINTED POST
Mailing Address - State:NY
Mailing Address - Zip Code:14870-9509
Mailing Address - Country:US
Mailing Address - Phone:607-962-3100
Mailing Address - Fax:607-962-4300
Practice Address - Street 1:3805 MEADS CREEK RD
Practice Address - Street 2:
Practice Address - City:PAINTED POST
Practice Address - State:NY
Practice Address - Zip Code:14870-9509
Practice Address - Country:US
Practice Address - Phone:607-962-3100
Practice Address - Fax:607-962-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0721501F251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00973982Medicaid
NY331513Medicare ID - Type UnspecifiedHOSPICE PROVIDER ID