Provider Demographics
NPI:1477100089
Name:ADVOCATE HOMECARE
Entity Type:Organization
Organization Name:ADVOCATE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:TERLIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-341-7134
Mailing Address - Street 1:1081 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3504
Mailing Address - Country:US
Mailing Address - Phone:845-341-7134
Mailing Address - Fax:845-896-0300
Practice Address - Street 1:1081 MAIN ST
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3504
Practice Address - Country:US
Practice Address - Phone:845-341-7134
Practice Address - Fax:845-896-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04568750Medicaid