Organization Active NPI

Libertyarc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Amsterdam, NY
National Provider Identifier
1003998113
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
014726-1 Issued in NY
Legal business name
LIBERTYARC
Practice address
43 Liberty Dr
Amsterdam, NY 12010-5635
Phone
(518) 954-3380
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Mr. Frank Capone
Title
Ceo
Phone
(518) 954-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 014726-1 NY Primary

Addresses

Primary practice location

43 Liberty Dr
Amsterdam, NY 12010-5635

Mailing address

43 Liberty Dr
Amsterdam, NY 12010-5635
Phone (518) 954-3380

National Provider Directory

National Provider Directory

Locations

43 Liberty Dr
Amsterdam, NY 12010
Phone (518) 842-5080

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1003998113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 LIBERTY DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120105635",
            "telephone_number": "518-954-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LIBERTY DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120105635",
            "telephone_number": "518-954-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTYARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "CAPONE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-954-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "014726-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.