Organization Active NPI

First Community Care of Bassett, LLC

  • Oxygen Equipment & Supplies (DME)
  • Cooperstown, NY
National Provider Identifier
1003929050
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
023319 Issued in NY
Legal business name
FIRST COMMUNITY CARE OF BASSETT, LLC
Practice address
12 Commons Dr
Suite 18
Cooperstown, NY 13326-9516
Phone
(607) 547-2173
Fax
(607) 547-4111
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Mr. Betty J Horrigan
Title
Director
Phone
(716) 568-2236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X 023319 NY Primary

Addresses

Primary practice location

12 Commons Dr
Suite 18
Cooperstown, NY 13326-9516

Mailing address

60 Northpointe Pkwy
Amherst, NY 14228-1883
Phone (716) 568-2236

Other identifiers 1

IdentifierTypeStateIssuer
01913822MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078456 NY DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7012038011 Practice locations: Cooperstown, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
First Community Care of Bassett LLC12 Commons Dr, Cooperstown, NY 13326-9502(607) 547-2173 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scoot… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

12 Commons Dr
Ste 18
Cooperstown, NY 13326
Phone (607) 547-2173

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1003929050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NORTHPOINTE PKWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281883",
            "telephone_number": "716-568-2236",
            "fax_number": "716-568-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 COMMONS DR",
            "address_2": "SUITE 18",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133269516",
            "telephone_number": "607-547-2173",
            "fax_number": "607-547-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COMMUNITY CARE OF BASSETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "HORRIGAN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-568-2236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": "023319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01913822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooperstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.