Provider Demographics
NPI:1962098954
Name:DUCHESS LANE LLC
Entity type:Organization
Organization Name:DUCHESS LANE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-703-4844
Mailing Address - Street 1:1 ELM ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3941
Mailing Address - Country:US
Mailing Address - Phone:914-703-4844
Mailing Address - Fax:
Practice Address - Street 1:1 ELM ST STE 2C
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-3941
Practice Address - Country:US
Practice Address - Phone:914-703-4844
Practice Address - Fax:914-703-4001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUCHESS LANE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health