Provider Demographics
NPI:1588038137
Name:CHDFS INC.
Entity Type:Organization
Organization Name:CHDFS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-695-4564
Mailing Address - Street 1:307 W 38TH ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-2913
Mailing Address - Country:US
Mailing Address - Phone:212-695-4564
Mailing Address - Fax:212-695-4561
Practice Address - Street 1:307 W 38TH ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-2913
Practice Address - Country:US
Practice Address - Phone:212-695-4564
Practice Address - Fax:212-695-4561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1587L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04175119Medicaid