Provider Demographics
NPI:1932128386
Name:VILLAGE CENTER FOR CARE
Entity Type:Organization
Organization Name:VILLAGE CENTER FOR CARE
Other - Org Name:VILLAGE CENTER FOR CARE - LTHHCP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMALFITANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-337-5816
Mailing Address - Street 1:120 BROADWAY
Mailing Address - Street 2:SUITE 2840
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10271-0009
Mailing Address - Country:US
Mailing Address - Phone:212-337-5816
Mailing Address - Fax:212-337-5839
Practice Address - Street 1:112 CHARLES STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2653
Practice Address - Country:US
Practice Address - Phone:212-337-5600
Practice Address - Fax:212-366-5317
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VILLAGE CENTER FOR CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-18
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7000912L251E00000X
NY7002657A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02578958Medicaid
NY337421Medicare Oscar/Certification