Provider Demographics
NPI:1881957678
Name:HONOREHG, INC.
Entity type:Organization
Organization Name:HONOREHG, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-343-7115
Mailing Address - Street 1:38 SEWARD AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-1901
Mailing Address - Country:US
Mailing Address - Phone:845-343-7115
Mailing Address - Fax:845-342-3175
Practice Address - Street 1:38 SEWARD AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-1901
Practice Address - Country:US
Practice Address - Phone:845-343-7115
Practice Address - Fax:845-342-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY130410117251B00000X
324500000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03533319Medicaid