Provider Demographics
NPI:1962893404
Name:COGREEN SENIOR CARE, INC.
Entity type:Organization
Organization Name:COGREEN SENIOR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANASTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-417-2040
Mailing Address - Street 1:228 WATER ST
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-1639
Mailing Address - Country:US
Mailing Address - Phone:518-417-2040
Mailing Address - Fax:
Practice Address - Street 1:100 TOWN HALL DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1213
Practice Address - Country:US
Practice Address - Phone:518-417-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care