NPIMap

Organization Active NPI

Stavros Center for Independent Living, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amherst, MA
National Provider Identifier
1083814081
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STAVROS CENTER FOR INDEPENDENT LIVING, INC.
Practice address
210 Old Farm Rd
Amherst, MA 01002-2704
Phone
(413) 256-6692
Fax
(413) 256-2630
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Ms. Seren Derin
Title
Fiscal Director
Phone
(413) 253-4236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

210 Old Farm Rd
Amherst, MA 01002-2704

Mailing address

210 Old Farm Rd
Amherst, MA 01002-2704
Phone (413) 256-6692

National Provider Directory

National Provider Directory
Tax ID family
Stavros Center for Independent Living Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1083814081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OLD FARM RD",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022704",
            "telephone_number": "413-256-6692",
            "fax_number": "413-256-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 OLD FARM RD",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022704",
            "telephone_number": "413-256-6692",
            "fax_number": "413-256-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAVROS CENTER FOR INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "DERIN",
        "authorized_official_first_name": "SEREN",
        "authorized_official_title_or_position": "FISCAL DIRECTOR",
        "authorized_official_telephone_number": "413-253-4236",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.