Organization Active NPI

Baker Hall

  • Nursing Facility/Intermediate Care Facility
  • Lackawanna, NY
National Provider Identifier
1114138286
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
RID1514VID00A00113B Issued in NY
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

Updated by the provider on Apr 15, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00465834MedicaidNY

Other names 1

  • OLV Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baker Hall Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "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.

Verify at the official NPI Registry.