Provider Demographics
NPI:1972515963
Name:WESTCHESTER CARE AT HOME
Entity type:Organization
Organization Name:WESTCHESTER CARE AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP OF OPERATIONS / FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:G
Authorized Official - Last Name:RUEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:914-682-1480
Mailing Address - Street 1:360 MAMARONECK AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1708
Mailing Address - Country:US
Mailing Address - Phone:914-862-1480
Mailing Address - Fax:914-682-1477
Practice Address - Street 1:360 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1708
Practice Address - Country:US
Practice Address - Phone:914-862-1480
Practice Address - Fax:914-682-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01458382Medicaid
NY01623454Medicaid