Active NPI
Baker Hall
- Nursing Facility/Intermediate Care Facility
- Lackawanna, NY
National Provider Identifier
1114138286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- RID1514VID00A00113B
- Legal business name
- BAKER HALL
- Practice address
- 150 Martin Road
Lackawanna, NY 14218 - Phone
- (716) 828-9751
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurel Parzych
- Title
- Cfo/Coo
- Phone
- (716) 828-9751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | RID1514VID00A00113B | NY | Primary |
| Nursing Facility/Intermediate Care Facility | 313M00000X | RID1515VID00A00114 | NY | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | RID2794VID00A97001 | NY |
Addresses
Primary practice location
150 Martin Road
Lackawanna, NY 14218
Mailing address
790 Ridge Rd
Lackawanna, NY 14218-1629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00465834 | Medicaid | NY |
Other names 1
- OLV Human Services
National Provider Directory
National Provider Directory- Tax ID family
- Baker Hall Inc
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
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- Intellectual Disabilities Intermediate Care Facility
- Lackawanna, NY
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-
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-
- Community/Behavioral Health Agency
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- NPI 1124482344
-
- Case Management Agency
- Lackawanna, NY
- NPI 1144686254
-
- Community/Behavioral Health Agency
- Lackawanna, NY
- NPI 1245352921
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lackawanna, NY
- NPI 1285844084
-
- Psychiatric Residential Treatment Facility
- Lackawanna, NY
- NPI 1396956462
-
- Nursing Facility/Intermediate Care Facility
- Lackawanna, NY
- NPI 1447461876
-
- Intellectual Disabilities Intermediate Care Facility
- Lackawanna, NY
- NPI 1588875652
-
- Early Intervention Provider Agency
- Lackawanna, NY
- NPI 1700013927
-
- Early Intervention Provider Agency
- Lackawanna, NY
- NPI 1861641367
-
- Nursing Facility/Intermediate Care Facility
- Lackawanna, NY
- NPI 1205047370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713139200000",
"number": "1114138286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 RIDGE RD",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142181629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MARTIN ROAD",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "14218",
"telephone_number": "716-828-9751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKER HALL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A",
"authorized_official_last_name": "PARZYCH",
"authorized_official_first_name": "LAUREL",
"authorized_official_title_or_position": "CFO/COO",
"authorized_official_telephone_number": "716-828-9751"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NY",
"license": "RID1514VID00A00113B",
"primary": true
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NY",
"license": "RID1515VID00A00114",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NY",
"license": "RID2794VID00A97001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00465834",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OLV Human Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lackawanna, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.