Provider Demographics
NPI:1346032455
Name:LOWER WEST SIDE HOUSEHOLD SERVICES CORPORATION
Entity type:Organization
Organization Name:LOWER WEST SIDE HOUSEHOLD SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-307-7107
Mailing Address - Street 1:75 SOUTH BROADWAY
Mailing Address - Street 2:4TH FLOOR, SUITE 464
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 SOUTH BROADWAY
Practice Address - Street 2:4TH FLOOR, SUITE 464
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-722-2467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0217L002OtherLICENSE