Provider Demographics
NPI:1982005534
Name:HUDSON VALLEY CARE PARTNERS, LLC
Entity Type:Organization
Organization Name:HUDSON VALLEY CARE PARTNERS, LLC
Other - Org Name:HUDSON VALLEY CERTIFIED HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:WISSMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-291-8200
Mailing Address - Street 1:260 VINEYARD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2343
Mailing Address - Country:US
Mailing Address - Phone:845-691-7201
Mailing Address - Fax:845-691-7201
Practice Address - Street 1:260 VINEYARD AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2343
Practice Address - Country:US
Practice Address - Phone:845-691-9225
Practice Address - Fax:845-691-6408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY337277Medicare Oscar/Certification