Hyde Park Assisted Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

230F282 Issued in NY

Legal business name

HYDE PARK ASSISTED LIVING INC.

Practice address

394 Violet Ave
Poughkeepsie, NY 12601-1034

Phone

(845) 204-9572

NPI assigned

Nov 11, 2016

Last updated

Nov 11, 2016By 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

Mr. James Kenneth Rogers, RN

Title

President

Phone

(845) 204-9572

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1235671967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-204-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-204-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-204-9572",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "230F282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quang T Huynh
• Michael Y Hwang, M.D.
• Ula Hwang, M.D., M.P.H.
• Jennifer Lynn Hyatt, PHARMD
• Sarah Hyatt, M.S. CCC/SLP
• Hyde Park Licensed Home Care
• Michele Ann Hyland, PT, DPT
• Devidia Hyman, RN
• Jaqualyn Iardella
• Margaret Ibitoye

• Assisted Living Facility in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.