1. Home
  2. Directory
  3. New York
  4. Granville
  5. Custodial Care Facility
  6. NPI Profile

HOLBROOK ADULT HOME
NPI 1710371539
Custodial Care Facility - Adult Care Home in Granville, NY

Active since March 19, 2015
73 NORTH ST, GRANVILLE, NY 12832(518) 642-3476(518) 642-3801 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holbrook Adult Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLBROOK ADULT HOME (NPI 1710371539) is a healthcare organization registered as an adult care home in Granville, New York and active in the NPI registry since March 2015. The organization lists Debra Hollister Pauquette, Administrator/ Owner, as its authorized official.

NPPES Registry Identity

NPI1710371539
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business Name73 NORTH OF GRANVILLE, INC.
Location Address73 NORTH STGranville, NY 12832-1136
Mailing Address73 North StGranville, NY 12832-1136 · (518) 642-3476 · Fax (518) 642-3801
Phone(518) 642-3476
Fax(518) 642-3801
Organization SubpartNo
Authorized OfficialDebra Hollister PauquetteAdministrator/ Owner · (518) 642-3476
Enumeration DateMarch 19, 2015
✔ NPI 1710371539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NY · 760-F-014
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
73 NORTH ST, Granville, NY 12832
Open in Google Maps ↗

Other Names 1

Doing Business AsHolbrook Adult Home

Frequently 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 73 North Of Granville, Inc.'s NPI number?

The NPI number for 73 North Of Granville, Inc. is 1710371539. It was assigned to this organization in the NPPES registry on March 19, 2015. The provider is doing business as Holbrook Adult Home.

Where is 73 North Of Granville, Inc. located?

73 North Of Granville, Inc. is located at 73 North St, Granville, NY 12832. The listed phone number is (518) 642-3476.

What is 73 North Of Granville, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for 73 North Of Granville, Inc. was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.