NPIMap

Organization Active NPI

Warren County

Doing business as Warren County Health Services

  • Home Health Agency
  • Lake George, NY
National Provider Identifier
1063638930
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5620901L Issued in NY
Legal business name
WARREN COUNTY
Doing business as
Warren County Health Services
Practice address
1340 State Route 9
Municipal Center
Lake George, NY 12845-3434
Phone
(518) 761-6415
Fax
(518) 761-6562
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Ginelle Jones, FNP
Title
Director
Phone
(518) 761-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5620901L NY Primary

Addresses

Primary practice location

1340 State Route 9
Municipal Center
Lake George, NY 12845-3434

Mailing address

1340 State Route 9
Municipal Center
Lake George, NY 12845-3434
Phone (518) 761-6415

Other identifiers 5

IdentifierTypeStateIssuer
000485039001OtherNYBLUE SHIELD-NRTH & SR.BLU
004596OtherNYEMPIRE BCBS
10002600OtherNYCDPHP
01114630MedicaidNY
322471OtherNYMVP

Other names 1

  • Warren County Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Warren County7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1063638930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 STATE ROUTE 9",
            "address_2": "MUNICIPAL CENTER",
            "city": "LAKE GEORGE",
            "state": "NY",
            "postal_code": "128453434",
            "telephone_number": "518-761-6415",
            "fax_number": "518-761-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 STATE ROUTE 9",
            "address_2": "MUNICIPAL CENTER",
            "city": "LAKE GEORGE",
            "state": "NY",
            "postal_code": "128453434",
            "telephone_number": "518-761-6415",
            "fax_number": "518-761-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GINELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-761-6580",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "5620901L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD-NRTH & SR.BLU",
            "identifier": "000485039001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "004596",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10002600",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01114630",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "322471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren County Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake George, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.