Provider Demographics
NPI:1215273503
Name:PEOPLE INCORPORATED
Entity type:Organization
Organization Name:PEOPLE INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MICCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-452-2728
Mailing Address - Street 1:102 FULTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2858
Mailing Address - Country:US
Mailing Address - Phone:845-452-2728
Mailing Address - Fax:845-452-2793
Practice Address - Street 1:102 FULTON AVE STE A
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2858
Practice Address - Country:US
Practice Address - Phone:845-452-2728
Practice Address - Fax:845-452-2793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-14
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251B00000X
251B00000X, 251E00000X, 251S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04178465Medicaid