Organization
LITSON CERTIFIED CARE, INC.
Active
Parent organization
LITSON CERTIFIED, INC.
Other names
WILLCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITSON CERTIFIED, INC.
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
700 CORPORATE BLVD, NEWBURGH, NY 12550-6416
(845) 561-3655
(845) 331-0492
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3502601
NY
251J00000X
Nursing Care Agency
3502601
NY
253Z00000X
In Home Supportive Care Agency
3502601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01599279
—
NY
05
—
02062944
—
NY
01
—
3947
PFI
NY
Enumeration date
01/10/2007
Last updated
08/23/2024
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