Organization Active NPI

Hedgewood Hfa LLC

  • Assisted Living Facility
  • Beacon, NY
National Provider Identifier
1457763955
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
230F082 Issued in NY
Legal business name
HEDGEWOOD HFA LLC
Practice address
355 Fishkill Ave
Beacon, NY 12508-2061
Phone
(845) 831-6000
Fax
(845) 831-2518
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Zvi Gurevich
Title
Administrator
Phone
(845) 831-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 230F082 NY Primary

Addresses

Primary practice location

355 Fishkill Ave
Beacon, NY 12508-2061

Mailing address

355 Fishkill Ave
Beacon, NY 12508-2061
Phone (845) 831-6000

Other identifiers 1

IdentifierTypeStateIssuer
03186110MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1457763955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 FISHKILL AVE",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082061",
            "telephone_number": "845-831-6000",
            "fax_number": "845-831-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 FISHKILL AVE",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082061",
            "telephone_number": "845-831-6000",
            "fax_number": "845-831-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGEWOOD HFA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "GUREVICH",
        "authorized_official_first_name": "ZVI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-831-6000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "230F082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03186110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.