Provider Demographics
NPI:1770566127
Name:HOME AIDES OF ROCKLAND, INC.
Entity type:Organization
Organization Name:HOME AIDES OF ROCKLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HALVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-634-2024
Mailing Address - Street 1:151 S MAIN ST
Mailing Address - Street 2:SUITE LL8
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3516
Mailing Address - Country:US
Mailing Address - Phone:845-634-2024
Mailing Address - Fax:845-634-2644
Practice Address - Street 1:151 S MAIN ST
Practice Address - Street 2:SUITE LL8
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3516
Practice Address - Country:US
Practice Address - Phone:845-634-2024
Practice Address - Fax:845-634-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0183L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00908654Medicaid