Organization Active NPI

Tioga County

  • Home Health Agency
  • Owego, NY
National Provider Identifier
1063562841
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5320901L Issued in NY
Legal business name
TIOGA COUNTY
Practice address
1062 State Rte. 38
Owego, NY 13827-3209
Phone
(607) 687-8573
Fax
(607) 223-7063
NPI assigned
Jan 12, 2007
Organization subpart
Yes
Parent organization
TIOGA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Mr. Denis McCann
Title
Director of Administrative Services
Phone
(607) 687-8604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5320901L NY Primary

Addresses

Primary practice location

1062 State Rte. 38
Owego, NY 13827-3209

Mailing address

1062 State Rte. 38
P. O. Box 120
Owego, NY 13827-3209
Phone (607) 687-8604

Other identifiers 1

IdentifierTypeStateIssuer
00888019MedicaidNY

Other names 1

  • Tioga County Public Health Dept. LTHHCP Doing business as

National Provider Directory

National Provider Directory
Part of
Tioga County Health Department

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1063562841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 STATE RTE. 38",
            "address_2": "P. O. BOX 120",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138273209",
            "telephone_number": "607-687-8604",
            "fax_number": "607-223-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 STATE RTE. 38",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138273209",
            "telephone_number": "607-687-8573",
            "fax_number": "607-223-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIOGA COUNTY",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "607-687-8604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "5320901L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tioga County Public Health Dept. LTHHCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.