Active NPI
Libertyarc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Amsterdam, NY
National Provider Identifier
1003998113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 014726-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.