Provider Demographics
NPI:1568557395
Name:LAWRENCE COMMUNITY HEALTH SERVICES
Entity Type:Organization
Organization Name:LAWRENCE COMMUNITY HEALTH SERVICES
Other - Org Name:JANSEN HOSPICE & PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-297-4358
Mailing Address - Street 1:1129 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3505
Mailing Address - Country:US
Mailing Address - Phone:914-787-6158
Mailing Address - Fax:914-725-6381
Practice Address - Street 1:1129 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3505
Practice Address - Country:US
Practice Address - Phone:914-787-6158
Practice Address - Fax:914-725-6381
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAWRENCE CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-04
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01068226Medicaid
NY004049OtherEMPIRE BLUE CROSS
NYA378170OtherOXFORD
NYA378170OtherOXFORD