Provider Demographics
NPI:1780097097
Name:FIELDHOME SOCIAL DAY CARE
Entity type:Organization
Organization Name:FIELDHOME SOCIAL DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-739-2244
Mailing Address - Street 1:2300 CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-7231
Mailing Address - Country:US
Mailing Address - Phone:914-739-2244
Mailing Address - Fax:914-739-9240
Practice Address - Street 1:2300 CATHERINE ST
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-7231
Practice Address - Country:US
Practice Address - Phone:914-739-2244
Practice Address - Fax:914-739-9240
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIELDHOME-HOLY COMFORTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care