TABASCO HEALTH CARE
NPI 1073701579
Family Medicine - Addiction Medicine in Kerhonkson, NY
About Tabasco Health Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABASCO HEALTH CARE (NPI 1073701579) is a healthcare organization registered as an addiction medicine in Kerhonkson, New York and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Lucinda Grovenburg, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tabasco Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tabasco Health Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2045260
Tabasco Family Practice · Kerhonkson, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tabasco Family Practice PLLC's NPI number?
The NPI number for Tabasco Family Practice PLLC is 1073701579. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is doing business as Tabasco Health Care.
Where is Tabasco Family Practice PLLC located?
Tabasco Family Practice PLLC is located at 5 Golden Ln, Kerhonkson, NY 12446. The listed phone number is (845) 626-3424.
What is Tabasco Family Practice PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Tabasco Family Practice PLLC enrolled in Medicare?
Yes. Tabasco Family Practice PLLC is registered in the Medicare PECOS enrollment system.
When is Tabasco Family Practice PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tabasco Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Tabasco Family Practice PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tabasco Family Practice PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2045260) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tabasco Family Practice PLLC was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tabasco Health Care · NPI 1073701579
Addiction Medicine organization in Kerhonkson, New York. Organization record, active in the CMS NPPES registry since October 9, 2007.
## Identity
- **NPI:** 1073701579 (Entity type: Organization)
- **Enumerated:** October 9, 2007
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Legal business name:** Tabasco Family Practice Pllc
- **Organization subpart:** No
- **Authorized official:** Lucinda Grovenburg, PRESIDENT
## Practice location
- **Address:** 5 GOLDEN LN, Kerhonkson, NY 12446-1609
- **Phone:** (845) 626-3424 · **Fax:** (845) 626-4627
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2007
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073701579) · Data from the CMS NPPES public registry.