NPIMap

Organization Active NPI

Gregory P Collis

  • Home Health Agency
  • Syracuse, NY
National Provider Identifier
1104034362
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0824A002 Issued in NY
Legal business name
GREGORY P COLLIS
Practice address
212 Highland St
Syracuse, NY 13203-1603
Phone
(315) 382-6725
NPI assigned
May 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Gregory Paul Collis
Title
Operator
Phone
(315) 382-6725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0824A002 NY Primary

Addresses

Primary practice location

212 Highland St
Syracuse, NY 13203-1603

Mailing address

212 Highland St
Syracuse, NY 13203-1603
Phone (315) 382-6725

Other identifiers 1

IdentifierTypeStateIssuer
02072695MedicaidNY

Other names 1

  • Highland Limited Home Care Services Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gregory P Collis4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1104034362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGHLAND ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031603",
            "telephone_number": "315-382-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGHLAND ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031603",
            "telephone_number": "315-382-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P COLLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "COLLIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "315-382-6725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0824A002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Limited Home Care Services Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.