NPIMap

Organization Active NPI

Elant at Goshen, Inc.

  • Home Health Agency
  • Newburgh, NY
National Provider Identifier
1003094004
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9470L001 Issued in NY
Legal business name
ELANT AT GOSHEN, INC.
Practice address
31 Cerone PL
Newburgh, NY 12550-5104
Phone
(845) 569-0500
Fax
(845) 569-1887
NPI assigned
Feb 1, 2008
Organization subpart
Yes
Parent organization
ELANT AT GOSHENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Jo Jobity
Title
Controller
Phone
(845) 360-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9470L001 NY Primary

Addresses

Primary practice location

31 Cerone PL
Newburgh, NY 12550-5104

Mailing address

46 Harriman Dr
Goshen, NY 10924-2410
Phone (845) 360-1200

Other identifiers 1

IdentifierTypeStateIssuer
01776452MedicaidNY

Other names 1

  • Elant Licensed Home Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Elant at Goshen3 organizations share this tax ID, including this one
Part of
Elant at Goshen

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1003094004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HARRIMAN DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410",
            "telephone_number": "845-360-1200",
            "fax_number": "845-291-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CERONE PL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505104",
            "telephone_number": "845-569-0500",
            "fax_number": "845-569-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANT AT GOSHEN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELANT AT GOSHEN",
        "enumeration_date": "2008-02-01",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "JOBITY",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "845-360-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9470L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01776452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elant Licensed Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.