Fort Hudson Certified Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FORT HUDSON CERTIFIED HOME HEALTH AGENCY, INC.

Practice address

319 Broadway
Fort Edward, NY 12828-1221

Phone

(518) 747-2811

Fax

(518) 747-2740

NPI assigned

Jul 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. John William Coburn

Title

Chief Financial Officer

Phone

(518) 747-2811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1639511892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BROADWAY",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281221",
            "telephone_number": "518-747-2811",
            "fax_number": "518-747-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BROADWAY",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281221",
            "telephone_number": "518-747-2811",
            "fax_number": "518-747-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT HUDSON CERTIFIED HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-747-2811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Dresser, LPN
• Darlene K Fischer
• Jennifer Robina Fisher, RN
• Martha Hainey Flacke, MA CCC-SLP
• Fort Edward Rescue Squad Inc
• Fort Hudson Home Care, Inc.
• Fort Hudson Nursing Center, Inc.
• Fort Hudson Nursing Center, Inc.
• Fort Hudson Social Day Program
• Maura D Fox, M.S.CCC-SLP,NBCT

• Home Health Agency in Fort Edward, NY
• Providers in Fort Edward, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.