Provider Demographics
NPI:1619260643
Name:ORANGE COUNTY HOMECARE & STAFFNG AGENCY
Entity type:Organization
Organization Name:ORANGE COUNTY HOMECARE & STAFFNG AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CASE FINDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:YANKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DA/CPA
Authorized Official - Phone:845-234-9665
Mailing Address - Street 1:40 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-4873
Mailing Address - Country:US
Mailing Address - Phone:845-234-9665
Mailing Address - Fax:845-381-1383
Practice Address - Street 1:40 GROVE ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4873
Practice Address - Country:US
Practice Address - Phone:845-234-9665
Practice Address - Fax:845-381-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0016001253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care