Jillys Place Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

4364851 Issued in NY

Legal business name

JILLYS PLACE INC

Practice address

10 Weathervane Dr
Suite 201
Washingtonville, NY 10992-2242

Phone

(845) 496-1966

Fax

(845) 496-1976

NPI assigned

Oct 8, 2008

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Howley, R.N., L.M.S.W.

Title

President

Phone

(845) 496-1966

Specialties & licenses 6

Addresses

Other names 1

• corporation Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Bliss Glover, OTR/L

  • Occupational Therapist
  • Washingtonville, NY
  • NPI 1750672788
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1033360003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "WESTTOWN",
            "state": "NY",
            "postal_code": "109980241",
            "telephone_number": "845-496-1966",
            "fax_number": "845-496-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEATHERVANE DR",
            "address_2": "SUITE 201",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109922242",
            "telephone_number": "845-496-1966",
            "fax_number": "845-496-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLYS PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "HOWLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-496-1966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "0512981",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0512981",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "4364851",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "0512981",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": "3464851",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "3464851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lavita S Grubbs
• Delisa Ashley Harper
• Mohammed Zafar Iqbal, RPH
• Jahanara Reza MD PC
• Jilly's Place
• Samourra Rivienne Joseph, PHARMD
• Suzanne Kaseta, M.D.
• Arthur D Klein, DO
• Christina Klein, PA
• Dionne N Kravetz

• Early Intervention Provider Agency in Washingtonville, NY
• Providers in Washingtonville, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.