Source Holdings LLC
Early Intervention Provider Agency in New Rochelle, New York
1194374603- Practice location
- 466 Main St, New Rochelle, NY 10801-6431
- Phone
- 718-769-2698
- Fax
- —
- Last updated
- September 6, 2019
Source Holdings LLC is a healthcare organization based in New Rochelle, NY. Source Holdings LLC practices in New Rochelle, NY. The NPI Number for Source Holdings LLC is 1194374603. The current practice location address for Source Holdings LLC is 466 Main St, New Rochelle, NY 10801-6431 and can be reached out via phone at 718-769-2698.
Provider Profile Details
- NPI Number
- 1194374603
- Provider Name
- Source Holdings LLC
- Provider Entity Type
- Organization
- Address
- 466 Main St, New Rochelle, NY 10801-6431
- Phone Number
- 718-769-2698
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Gina Decesare, MS, OTR/L · Owner/Sole Proprietor · 914-263-1713
- Provider Enumeration Date
- September 6, 2019
- Last Update Date
- September 6, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 466 Main St
New Rochelle, NY 10801-6431 - City
- New Rochelle
- State
- New York
- Zip
- 10801-6431
- Phone Number
- 718-769-2698
Provider Business Mailing Address Details
- Address
- 13 Bryant Cres Apt 1L
White Plains, NY 10605-2711 - City
- White Plains
- State
- NY
- Zip
- 10605-2711
License Information
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Source Holdings LLC?
The NPI number of Source Holdings LLC is 1194374603. It was assigned on September 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Source Holdings LLC?
Source Holdings LLC is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).
Where does Source Holdings LLC practice?
The practice location is 466 Main St, New Rochelle, NY 10801-6431. The office can be reached at 718-769-2698 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194374603 directly on the NPPES registry website.