Provider Demographics
NPI:1689917148
Name:LIVING INDEPENDENTLY FOR THE ELDERLY
Entity Type:Organization
Organization Name:LIVING INDEPENDENTLY FOR THE ELDERLY
Other - Org Name:BETHEL SPRINGVALE INN
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-739-6700
Mailing Address - Street 1:62 SPRINGVALE RD
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1341
Mailing Address - Country:US
Mailing Address - Phone:914-739-6700
Mailing Address - Fax:914-736-0092
Practice Address - Street 1:62 SPRINGVALE RD
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1341
Practice Address - Country:US
Practice Address - Phone:914-739-6700
Practice Address - Fax:914-736-0092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health