NPIMap

Organization Active NPI

Willcare

  • Home Health Agency
  • Newburgh, NY
National Provider Identifier
1174916712
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
695683 Issued in NY
Legal business name
WILLCARE
Practice address
700 Corporate Blvd
Newburgh, NY 12550-6416
Phone
(845) 561-3655
NPI assigned
Mar 6, 2015
Last updated
Mar 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
John Henry VerackaNPI 1023328077
Title
Nurse
Phone
(845) 361-0392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 695683 NY Primary

Addresses

Primary practice location

700 Corporate Blvd
Newburgh, NY 12550-6416

Mailing address

700 Corporate Blvd
Newburgh, NY 12550-6416
Phone (845) 561-3655

National Provider Directory

National Provider Directory
Tax ID family
Litson Certified Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1174916712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CORPORATE BLVD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506416",
            "telephone_number": "845-561-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CORPORATE BLVD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506416",
            "telephone_number": "845-561-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "VERACKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "845-361-0392"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "695683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 2015; 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.