Provider Demographics
NPI:1790212439
Name:HARVEY & PHELPS, LLC
Entity Type:Organization
Organization Name:HARVEY & PHELPS, LLC
Other - Org Name:FIRSTLIGHT HOME CARE HUDSON VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-765-3992
Mailing Address - Street 1:2294 STATE ROUTE 208
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MONTGOMERY
Mailing Address - State:NY
Mailing Address - Zip Code:12549-2217
Mailing Address - Country:US
Mailing Address - Phone:845-765-3990
Mailing Address - Fax:845-477-1635
Practice Address - Street 1:2294 STATE ROUTE 208
Practice Address - Street 2:SUITE 5
Practice Address - City:MONTGOMERY
Practice Address - State:NY
Practice Address - Zip Code:12549-2217
Practice Address - Country:US
Practice Address - Phone:845-765-3990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health