Provider Demographics
NPI:1639175839
Name:HEALTH QUEST HOME CARE, INC. (CERTIFIED)
Entity Type:Organization
Organization Name:HEALTH QUEST HOME CARE, INC. (CERTIFIED)
Other - Org Name:HUDSON VALLEY HOME CARE, INC. (CERTIFIED)
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DEBARBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-314-6990
Mailing Address - Street 1:2649 SOUTH ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5252
Mailing Address - Country:US
Mailing Address - Phone:845-471-4243
Mailing Address - Fax:845-471-0642
Practice Address - Street 1:2649 SOUTH ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5252
Practice Address - Country:US
Practice Address - Phone:845-471-4243
Practice Address - Fax:845-471-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9004L001163WH0200X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03006246Medicaid
NY00846951Medicaid
NY00944761Medicaid
NY337230Medicare Oscar/Certification
337230Medicare ID - Type Unspecified