FORT HUDSON CERTIFIED HOME HEALTH AGENCY, INC. (NPI# 1639511892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639511892 |
| Entity Type | Organization |
| Organization Name | FORT HUDSON CERTIFIED HOME HEALTH AGENCY, INC. |
| Practice Address |
319 Broadway Fort Edward NY 12828-1221 |
| Practice Telephone | 5187472811 |
| Practice Fax Number | 5187472740 |
| Mailing Telephone | 5187472811 |
| Mailing Fax Number | 5187472740 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | MR. JOHN WILLIAM COBURN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5187472811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FORT HUDSON CERTIFIED HOME HEALTH AGENCY, INC. | 319 Broadway, Fort Edward, Ny 12828 |
| Street Address |
319 BROADWAY |
| City | FORT EDWARD |
| State | NY |
| Zip Code | 12828-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278837 | Philip Joseph Gara Jr. | Internal Medicine | 319 Broadway, Fort Edward, NY 12828-1221 | 2005-10-12 |
| 1417594748 | Dakota Storm Blake | Physical Therapy Assistant | 319 Broadway, Fort Edward, NY 12828-1221 | 2019-12-05 |
| 1790347086 | Kyle Streeter | Physical Therapy Assistant | 319 Broadway, Fort Edward, NY 12828-1221 | 2019-07-08 |
| 1841754280 | Aimee Christine Herring | Occupational Therapy Assistant | 319 Broadway, Fort Edward, NY 12828-1221 | 2019-01-30 |
| 1679977714 | Hudson Headwaters Health Network | Family Medicine | 319 Broadway, Fort Edward, NY 12828-1221 | 2014-10-17 |
| 1295905800 | Fort Hudson Home Care, Inc. | Home Health | 319 Broadway, Fort Edward, NY 12828-1221 | 2008-03-11 |
| 1477639680 | Fort Hudson Nursing Center, Inc. | Clinic/Center | 319 Broadway, Fort Edward, NY 12828-1221 | 2006-10-31 |
| 1033220397 | Bernardo R Villajuan | Internal Medicine | 319 Broadway, Fort Edward, NY 12828-1221 | 2006-08-31 |
| 1417947722 | Fort Hudson Nursing Center, Inc. | Skilled Nursing Facility | 319 Broadway, Fort Edward, NY 12828-1221 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194036772 | Theresa Anne Boire | Specialist | 270 County Route 42, Fort Edward, NY 12828 | 2010-06-29 |
| 1972838506 | Sandra Pollaro | Social Worker | 1153 Burgoyne Avenue, Hudson Falls Central School District, Fort Edward, NY 12828 | 2009-10-15 |
| 1063683845 | Barbara Elizabeth Tyler | Registered Nurse | 38 Seminary Street, Fort Edward, NY 12828 | 2008-03-19 |
| 1942386594 | Gayle J Pliscofsky | Occupational Therapist | 214 State Route 197, Fort Edward, NY 12828 | 2006-10-27 |
| 1437166626 | Moreau Emergency Squad Inc | Ambulance | 1583 State Rt 9, Fort Edward, NY 12828 | 2006-08-01 |
| 1427031319 | Fort Edward Rescue Squad Inc | Ambulance | 75 Schuyler Street, Fort Edward, NY 12828 | 2005-11-23 |
| 1639585540 | Michele Harding | Nurse Practitioner | 375 Broadway, Fort Edward, NY 12828 | 2014-07-11 |
| 1730548702 | Washington County Ofa | Public Health or Welfare | 383 Broadway, Fort Edward, NY 12828-1001 | 2016-02-18 |
| 1235365065 | Stephen Lape | Licensed Practical Nurse | 47 Park Ave, Fort Edward, NY 12828-1031 | 2009-06-08 |
| 1255697538 | Donna M Dapolito | Social Worker | 1153 Burgoyne Avenue, Suite 2, Fort Edward, NY 12828-1134 | 2012-04-11 |
| Find all providers in zip 12828 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295905800 | Fort Hudson Home Care, Inc. | Home Health | 319 Broadway, Fort Edward, NY 12828-1221 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972024 | Consortium Home Care Inc | Home Health | 16316 Northern Blvd Fl 2, Flushing, NY 11358-2645 | 2020-11-03 |
| 1679172100 | Amelia Home Care Inc. | Home Health | 3007 Ocean Pkwy Apt 1, Brooklyn, NY 11235-8053 | 2020-10-26 |
| 1164021887 | Preferred Certified, LLC | Home Health | 5223 Broadway, Bronx, NY 10463-7636 | 2020-10-23 |
| 1063010767 | 6677 Broadway LLC | Home Health | 140 Beach 119th St, Rockaway Park, NY 11694-1953 | 2020-10-14 |
| 1730787524 | Michele L Spinnichia | Home Health | 34 Blakeslee St, Rochester, NY 14609-2212 | 2020-10-13 |
| 1497353379 | Nuimage Wellness Services Inc | Home Health | 320 Wilson St Ste 2, West Hempstead, NY 11552-2019 | 2020-10-13 |
| 1124626312 | Julienne E Corp | Home Health | 1468 E 100th St, Brooklyn, NY 11236-5521 | 2020-10-12 |
| 1821695834 | Rymax Electronics Inc | Home Health | 1805 5th Ave Ste F, Bay Shore, NY 11706-1761 | 2020-10-02 |
| 1003421074 | Massagebywen Pllc | Home Health | 24028 Memphis Ave, Rosedale, NY 11422-2017 | 2020-09-15 |
| 1679188056 | Anchor Home Care, LLC | Home Health | 50 Lakefront Boulevard Suite 200, Buffalo, NY 14202-4301 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT EDWARD |
| Zip Code | 12828 |
Please comment or provide details below to improve the information on FORT HUDSON CERTIFIED HOME HEALTH AGENCY, INC..
| 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.