Triform Enterprises LTD.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

9035400 Issued in NY

Legal business name

TRIFORM ENTERPRISES LTD.

Doing business as

Triform Camphill Community

Practice address

20 Triform Road
Hudson, NY 12534

Phone

(518) 851-9320

Fax

(518) 851-2864

NPI assigned

Feb 19, 2009

Last updated

Feb 19, 2009By 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. Timothy Paholak

Title

President

Phone

(518) 851-9320

Specialties & licenses 1

Addresses

Other names 1

• Triform Camphill Community Doing business as

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1417196155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TRIFORM ROAD",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "12534",
            "telephone_number": "518-851-9320",
            "fax_number": "518-851-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TRIFORM ROAD",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "12534",
            "telephone_number": "518-851-9320",
            "fax_number": "518-851-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIFORM ENTERPRISES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "PAHOLAK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-851-9320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "9035400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triform Camphill Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Hudson, NY
• Providers in Hudson, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.