Childrens Home RTF Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

8524040 Issued in NY

Legal business name

CHILDRENS HOME RTF INC

Practice address

638 Squirrel Hill Rd
Chenango Forks, NY 13746-2145

Phone

(607) 656-9004

Fax

(607) 656-9076

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By 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

Karen E Wright, MSW

Title

Executive Director

Phone

(607) 656-9004

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kristin Burghardt, LCSW

  • Clinical Social Worker
  • Chenango Forks, NY
  • NPI 1225782667
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063534287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SQUIRREL HILL RD",
            "city": "CHENANGO FORKS",
            "state": "NY",
            "postal_code": "137462145",
            "telephone_number": "607-656-9004",
            "fax_number": "607-656-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 SQUIRREL HILL RD",
            "city": "CHENANGO FORKS",
            "state": "NY",
            "postal_code": "137462145",
            "telephone_number": "607-656-9004",
            "fax_number": "607-656-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOME RTF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-656-9004",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "8524040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01313386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria J Anderson, LPN
• Kristin Burghardt, LCSW
• Charlotte Heaney, OTR/L
• Ann M. Kennedy, MS,CCC-SLP
• Erend James Purdy
• Wendy S. Workman, LAC.

• Voluntary or Charitable Agency in Chenango Forks, NY
• Providers in Chenango Forks, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.