STACEY FREDERICK COMPASSIONATE CARE (NPI# 1992165567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992165567 |
| Entity Type | Organization |
| Organization Name | STACEY FREDERICK COMPASSIONATE CARE |
| Other Organization Name | STACEY FREDERICK |
| Practice Address |
20 Red Maple Rd Saugerties NY 12477-9326 |
| Practice Telephone | 8457979213 |
| Mailing Telephone | 8457979213 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | MISS STACEY L FREDERICK (LPN) |
| Authorized Official Telephone | 8457979213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 266189-1 | NY | Agencies |
| N | 252Y00000X | Early Intervention Provider Agency | 266189-1 | NY | Agencies |
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
266189-1 | NY | Ambulatory Health Care Facilities |
| N | 273R00000X | Psychiatric Unit | 266189-1 | NY | Hospital Units |
| N | 305R00000X | Preferred Provider Organization | 266189-1 | NY | Managed Care Organizations |
| N | 305S00000X | Point of Service | 266189-1 | NY | Managed Care Organizations |
| N | 311Z00000X | Custodial Care Facility | 266189-1 | NY | Nursing & Custodial Care Facilities |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 266189-1 | NY | Residential Treatment Facilities |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
266189-1 | NY | Respite Care Facility |
| Y | 251E00000X | Home Health | 266189-1 | NY | Agencies |
| Other Name | Type Code |
|---|---|
| STACEY FREDERICK | Doing Business As Name - Organization |
| Street Address |
20 RED MAPLE RD |
| City | SAUGERTIES |
| State | NY |
| Zip Code | 12477-9326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611316 | Laurie J. Fischer | Licensed Practical Nurse | 32a Fortune Valley Ln, Saugherties, NY 12477 | 2019-04-01 |
| 1407315385 | Justin D Gray | Licensed Practical Nurse | 32 B Fortune Valley Lane, Saugerties, NY 12477 | 2019-03-19 |
| 1780166645 | Open Door Family Medical Center Inc | Clinic/Center | 16 W Bridge St Ste 4, Saugerties, NY 12477 | 2018-09-06 |
| 1609374503 | Rachel Caroline Brousseau | Physician Assistant | 2976 Us-9w, Saugerties, NY 12477 | 2018-01-25 |
| 1982145124 | Jacqueline Paunovic | Massage Therapist | 175 North Drive, Saugeties, NY 12477 | 2017-03-20 |
| 1902236201 | Brenda Belle-dunmore | Licensed Practical Nurse | 2683 Route 9w, Saugerties, NY 12477 | 2013-11-22 |
| 1780957811 | Deborah Anne Dickson | Registered Nurse | 10 John Yaeger Rd, Saugerties, NY 12477 | 2012-02-21 |
| 1225348907 | Jeane Catherine Mcmahon | Registered Nurse | 20 Leonard La, Saugerties, NY 12477 | 2010-10-15 |
| 1902116593 | Patricia Fricker | Registered Nurse | 39 Diamond Court, Saugerties, NY 12477 | 2010-10-15 |
| 1619285657 | Jay E. Brown | Psychologist | 310 Washington Avenue, Call Box A, Saugerties, NY 12477 | 2010-09-23 |
| Find all providers in zip 12477 | ||||
| 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 |
|---|---|---|---|---|
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| 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 | SAUGERTIES |
| Zip Code | 12477 |
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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.