Provider Demographics
NPI:1184894909
Name:CONCEPT: CARE, INC.
Entity type:Organization
Organization Name:CONCEPT: CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-682-7990
Mailing Address - Street 1:50 MAIN ST
Mailing Address - Street 2:SUITE 976
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-1901
Mailing Address - Country:US
Mailing Address - Phone:914-682-7990
Mailing Address - Fax:914-682-8410
Practice Address - Street 1:50 MAIN ST
Practice Address - Street 2:SUITE 976
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-1901
Practice Address - Country:US
Practice Address - Phone:914-682-7990
Practice Address - Fax:914-682-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9620L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02149860Medicaid
NY01664117Medicaid
NY01996143Medicaid