TRIFORM ENTERPRISES LTD. (NPI# 1417196155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417196155 |
| Entity Type | Organization |
| Organization Name | TRIFORM ENTERPRISES LTD. |
| Other Organization Name | TRIFORM CAMPHILL COMMUNITY |
| Practice Address |
20 Triform Road Hudson NY 12534 |
| Practice Telephone | 5188519320 |
| Practice Fax Number | 5188512864 |
| Mailing Telephone | 5188519320 |
| Mailing Fax Number | 5188512864 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | MR. TIMOTHY PAHOLAK (PRESIDENT) |
| Authorized Official Telephone | 5188519320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 9035400 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02702463 | 05 |
| Other Name | Type Code |
|---|---|
| Triform Camphill Community | Doing Business As Name - Organization |
| Street Address |
20 TRIFORM ROAD |
| City | HUDSON |
| State | NY |
| Zip Code | 12534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426446 | Sharyn Ann Flesher | Registered Nurse | 131 Union Turnpike, Columbia-greene Education Center, Hudson, NY 12534 | 2015-05-08 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1649601535 | Joan Delisca Groll | Registered Nurse | 215 Harry Howard Avenue, Hudson, NY 12534 | 2013-12-03 |
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1366751653 | Carri Coons | Licensed Practical Nurse | 140 Maple Lane Lot 85, Husdon, NY 12534 | 2010-10-04 |
| 1013244185 | Richard B Weininger | Internal Medicine | 125 Millbrook Road, Hudson, NY 12534 | 2009-11-11 |
| 1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
| 1659558989 | Gary L Stoller | Dentist | 5 Mckinstry Pl, Hudson, NY 12534 | 2008-01-29 |
| 1255523502 | Pulcher & Sacco Inc | Bus | 469 Fairview Ave, Hudson, NY 12534 | 2007-08-10 |
| 1316165202 | Rosanne Aulino | Registered Nurse | 325 Columbia Street, Columbia County Mental Health Center, Hudson, NY 12534 | 2007-04-23 |
| Find all providers in zip 12534 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386010882 | Teresa Oler | Day Training, Developmentally Disabled Services | 125 W. 7th Street, Hudson, WY 82515-2147 | 2015-08-19 |
| 1841684628 | Joadele Foster | Day Training, Developmentally Disabled Services | 131 Union Tpke, Hudson, NY 12534-1524 | 2015-03-19 |
| 1669789293 | Camphill Hudson Inc. | Day Training, Developmentally Disabled Services | 308 Allen St, Hudson, NY 12534-2440 | 2010-09-02 |
| 1043459605 | Your Life's Choices, Inc. of Central Florida | Day Training, Developmentally Disabled Services | 12615 College Hill Dr, Hudson, FL 34667-1849 | 2009-02-05 |
| 1053566828 | Brdige for Hudson Youth, Inc. | Day Training, Developmentally Disabled Services | 1901 Vine St, Hudson, WI 54016-9514 | 2008-11-20 |
| 1922125244 | Skill Creations, Inc. | Day Training, Developmentally Disabled Services | 3006 Hickory Blvd, Hudson, NC 28638-2659 | 2007-03-23 |
| 1164559803 | Toward Independent Living & Learning, Inc. | Day Training, Developmentally Disabled Services | 577 East Main Street, Hudson, MA 01749 | 2007-02-28 |
| 1669672911 | St Croix Therapy Inc | Day Training, Developmentally Disabled Services | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2007-07-24 |
| 1801973318 | The Center for Independence Inc | Day Training, Developmentally Disabled Services | 13910 Fivay Rd, Suite 8, Hudson, FL 34667 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754621 | Home Sweet Home Aba LLC | Day Training, Developmentally Disabled Services | 1404 Union St, Brooklyn, NY 11213-4336 | 2020-09-13 |
| 1841818986 | Modest Community Services Association | Day Training, Developmentally Disabled Services | 88 New Dorp Plz S Ste 202, Staten Island, NY 10306-2902 | 2020-07-06 |
| 1073133682 | Trac Autism Inc. | Day Training, Developmentally Disabled Services | 1155 Warburton Ave Apt 6e, Yonkers, NY 10701-1030 | 2020-04-23 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1164061628 | Ibero American Action Lueage, Inc. | Day Training, Developmentally Disabled Services | 817 East Main Street, Same, Rochester, NY 14605-5144 | 2020-01-02 |
| 1174167589 | Ryhans Center of Hope, Inc. | Day Training, Developmentally Disabled Services | 387 E Main St Ste 106, Bay Shore, NY 11706-8413 | 2019-10-30 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1679120638 | Justin Rigas | Day Training, Developmentally Disabled Services | 523 Montauk Hwy, East Moriches, NY 11940-1372 | 2019-08-23 |
| 1639722358 | Jewel Human Services, Inc | Day Training, Developmentally Disabled Services | 15231 134th Ave, Jamaica, NY 11434-3528 | 2019-07-22 |
| 1164996534 | Ranj Family of Services | Day Training, Developmentally Disabled Services | 25 Roman Acres Dr, Garnerville, NY 10923-1111 | 2019-01-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.