Provider Demographics
NPI:1629145602
Name:WHITTIER HEALTH SERVICES INC
Entity Type:Organization
Organization Name:WHITTIER HEALTH SERVICES INC
Other - Org Name:WHITTIER PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARCIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-556-5900
Mailing Address - Street 1:30 WHITTIER WAY
Mailing Address - Street 2:
Mailing Address - City:GHENT
Mailing Address - State:NY
Mailing Address - Zip Code:12075-3319
Mailing Address - Country:US
Mailing Address - Phone:518-828-0900
Mailing Address - Fax:518-828-1201
Practice Address - Street 1:30 WHITTIER WAY
Practice Address - Street 2:
Practice Address - City:GHENT
Practice Address - State:NY
Practice Address - Zip Code:12075-3319
Practice Address - Country:US
Practice Address - Phone:518-828-0900
Practice Address - Fax:518-828-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200E005310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02085803Medicaid