Organization Active NPI

Mid-Hudson Managed Home Care, Inc.

  • Home Health Agency
  • Newburgh, NY
National Provider Identifier
1922120104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9762L001 Issued in NY
Legal business name
MID-HUDSON MANAGED HOME CARE, INC.
Practice address
243 Route 17K
Newburgh, NY 12550-8310
Phone
(845) 567-3022
Fax
(845) 567-3015
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeannine L Sylcox
Title
Administrator
Phone
(845) 567-3022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9762L001 NY Primary

Addresses

Primary practice location

243 Route 17K
Newburgh, NY 12550-8310

Mailing address

243 Route 17K
Newburgh, NY 12550-8310
Phone (845) 567-3022

Other identifiers 1

IdentifierTypeStateIssuer
01740972MedicaidNY

National Provider Directory

National Provider Directory

Locations

243 Route 17K
Newburgh, NY 12550
Phone (845) 567-3022

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922120104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ROUTE 17K",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508310",
            "telephone_number": "845-567-3022",
            "fax_number": "845-567-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ROUTE 17K",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508310",
            "telephone_number": "845-567-3022",
            "fax_number": "845-567-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-HUDSON MANAGED HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYLCOX",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-567-3022"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9762L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01740972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.