De Trinity Community Living Corp
Respite Care in Middletown, NY. Organization (NPI-2).
NPI number1801309554
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1801309554
- Entity type
- Organization (NPI-2)
- Legal business name
- De Trinity Community Living Corp
- Organization subpart
- No
- Enumeration date
- Nov 15, 2017
- Certification date
- Jan 20, 2023
- Last updated
- Jan 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385H00000X | Respite Care | – | – | Yes |
Practice location
25 Gordon RdMiddletown, NY 10941-3346
Phone 646-400-4562
Mailing address
25 Gordon RdMiddletown, NY 10941-3346
Phone 646-400-4562
Authorized official
Ejovwoke Riesa
Ceo
6464004562
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