Rockland Independent Living Center, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ROCKLAND INDEPENDENT LIVING CENTER, INC.

Practice address

873 Route 45
Suite 108
New City, NY 10956-1116

Phone

(845) 624-1366

Fax

(845) 624-1369

NPI assigned

Dec 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. George Hoehmann

Title

Ceo/Exec Director

Phone

(845) 624-1366

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1770829624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45",
            "address_2": "SUITE 108",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561116",
            "telephone_number": "845-624-1366",
            "fax_number": "845-624-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45",
            "address_2": "SUITE 108",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561116",
            "telephone_number": "845-624-1366",
            "fax_number": "845-624-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND INDEPENDENT LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "HOEHMANN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO/EXEC DIRECTOR",
        "authorized_official_telephone_number": "845-624-1366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01666031",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in New City, NY
• Providers in New City, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.