NPIMap

Organization Active NPI

Baker Hall

  • Intellectual Disabilities Intermediate Care Facility
  • Lackawanna, NY
National Provider Identifier
1023229192
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
BAKER HALL
Practice address
170 Martin Road
Lackawanna, NY 14218-2708
Phone
(716) 828-7470
Fax
(716) 827-8581
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Laurel Parzych
Title
Cfo/Coo
Phone
(716) 828-9751

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NY Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 7600442 NY

Addresses

Primary practice location

170 Martin Road
Lackawanna, NY 14218-2708

Mailing address

790 Ridge Rd
Lackawanna, NY 14218-1629

Other practice location 1

790 Ridge Rd
Lackawanna, NY 14218-1629
Phone (716) 828-9500

Other identifiers 1

IdentifierTypeStateIssuer
01129955MedicaidNY

Other names 2

  • Baker Victory Services Doing business as
  • OLV Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baker Hall Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

170 Martin Rd
Lackawanna, NY 14218
Phone (716) 828-7470

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1023229192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MARTIN ROAD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182708",
            "telephone_number": "716-828-7470",
            "fax_number": "716-827-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lackawanna",
            "state": "NY",
            "postal_code": "142181629",
            "country_code": "US",
            "telephone_number": "716-828-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAKER HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "PARZYCH",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "716-828-9751"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "7600442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01129955",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Victory Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baker Victory Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OLV Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.