Organization Active NPI

Alice Hyde Medical Center

  • Home Health Agency
  • Malone, NY
National Provider Identifier
1184007809
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2461L001 Issued in NY
Legal business name
ALICE HYDE MEDICAL CENTER
Practice address
45 Sixth St
Malone, NY 12953
Phone
(518) 481-8401
Fax
(518) 481-8403
NPI assigned
Jun 30, 2015
Organization subpart
Yes
Parent organization
ALICE HYDE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Ms. Lorraine Kourofsky
Title
Alp Administrator
Phone
(518) 481-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2461L001 NY Primary

Addresses

Primary practice location

45 Sixth St
Malone, NY 12953

Mailing address

45 Sixth St
Malone, NY 12953
Phone (518) 481-8401

Other names 1

  • The Alice Center Home Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alice Hyde Medical Center5 organizations share this tax ID, including this one
Part of
Alice Hyde Medical Center

Other organizations with this tax ID 4

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

Locations

45 6th St
Malone, NY 12953
Phone (518) 481-8000

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1184007809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SIXTH ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "12953",
            "telephone_number": "518-481-8401",
            "fax_number": "518-481-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SIXTH ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "12953",
            "telephone_number": "518-481-8401",
            "fax_number": "518-481-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE HYDE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALICE HYDE MEDICAL CENTER",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "KOUROFSKY",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "ALP ADMINISTRATOR",
        "authorized_official_telephone_number": "518-481-8401",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2461L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Alice Center Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.