TRIFORM ENTERPRISES LTD. NPI 1417196155

NPI Information

  • NPI: 1417196155
  • Provider Name: TRIFORM ENTERPRISES LTD.
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Doing Business As: TRIFORM CAMPHILL COMMUNITY
  • Address: 20 TRIFORM ROAD
    HUDSON, NY
    ZIP 12534
  • Phone: (518) 851-9320

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NPI Details

TRIFORM ENTERPRISES LTD. is a day training developmentally disabled services in Hudson, NY. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. TRIFORM ENTERPRISES LTD. NPI is 1417196155. The provider is registered as an organization entity type.
The provider Is Doing Business As Triform Camphill Community.

The provider's business location address is:

20 TRIFORM ROAD
HUDSON, NY
ZIP 12534
Phone: (518) 851-9320
Fax: (518) 851-2864

The provider's authorized official is Timothy Paholak .
The authorized official title is President and has the following contact phone number (518) 851-9320.

The enumeration date for this NPI number is 2/19/2009 and was last updated on 2/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled Services9035400NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102702463MEDICAIDNEW YORK

What is NPI?

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This page was last updated on: 11/21/2025

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