Active NPI
Tioga County
- Home Health Agency
- Owego, NY
National Provider Identifier
1063562841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 5320901L
- 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 COUNTY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00888019 | Medicaid | NY |
Other names 1
- Tioga County Public Health Dept. LTHHCP
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.