Affiliated Home Care of Putnam, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9236L001 Issued in NY

Legal business name

AFFILIATED HOME CARE OF PUTNAM, INC.

Practice address

4 Marina Dr Apt K1
Mahopac, NY 10541-1614

Phone

(845) 628-2484

Fax

(845) 628-2507

NPI assigned

Jun 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Kessman

Title

President

Phone

(845) 628-2484

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174725386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "address_2": "4 MARINA DRIVE #K-1",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105410213",
            "telephone_number": "845-628-2484",
            "fax_number": "845-628-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARINA DR APT K1",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411614",
            "telephone_number": "845-628-2484",
            "fax_number": "845-628-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED HOME CARE OF PUTNAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESSMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-628-2484",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9236L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00910623",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.