NPIMap

Organization Active NPI

County of Ulster Ny

  • Home Health Agency
  • Kingston, NY
National Provider Identifier
1003811449
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1874L001 Issued in NY
Legal business name
COUNTY OF ULSTER NY
Practice address
239 Golden Hill LN
Kingston, NY 12401-6441
Phone
(845) 340-3070
Fax
(845) 340-3086
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carol M Smith, MD, MPH
Title
Commissioner of Health
Phone
(845) 340-3009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1874L001 NY Primary
State or Local Public Health Clinic/Center 261QP0905X 5501201R NY

Addresses

Primary practice location

239 Golden Hill LN
Kingston, NY 12401-6441

Mailing address

239 Golden Hill LN
Kingston, NY 12401-6441
Phone (845) 340-3070

Other identifiers 9

IdentifierTypeStateIssuer
02993451MedicaidNY
3329OtherNYGHI HMO SELECT, INC.
6049OtherNYMVP
8300934OtherNYINDEPENDENT HEALTH
10034286OtherNYCDPHP
103329OtherNYWELLCARE OF NEW YORK INC
TRICAREOther001
A1876138OtherNYOXFORD HEALTHCARE
004714OtherBLUE CROSS - EMPIRE

Other names 1

  • ULSTER COUNTY HEALTH DEPARTMENT Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141113001643 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4587650247 Practice locations: Kingston, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003811449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-340-3070",
            "fax_number": "845-340-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-340-3070",
            "fax_number": "845-340-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ULSTER NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COMMISSIONER OF HEALTH",
        "authorized_official_telephone_number": "845-340-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1874L001",
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NY",
            "license": "5501201R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02993451",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO SELECT, INC.",
            "identifier": "3329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "6049",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8300934",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10034286",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF NEW YORK INC",
            "identifier": "103329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "001",
            "identifier": "TRICARE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHCARE",
            "identifier": "A1876138",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - EMPIRE",
            "identifier": "004714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULSTER COUNTY HEALTH DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.