Organization Active NPI

Community Based Services, Inc.

  • Mental Illness Intermediate Care Facility
  • Buchanan, NY
National Provider Identifier
1124195904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
01154030 Issued in NY
Legal business name
COMMUNITY BASED SERVICES, INC.
Practice address
197 Henry St
Buchanan, NY 10511-1427
Phone
(914) 277-4771
Fax
(914) 277-8956
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Margot A Anderson
Title
Business Manager
Phone
(914) 277-4771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 01154030 NY Primary

Addresses

Primary practice location

197 Henry St
Buchanan, NY 10511-1427

Mailing address

3 Fields LN
North Salem, NY 10560-1001
Phone (914) 277-4771

National Provider Directory

National Provider Directory
Tax ID family
Community Based Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124195904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FIELDS LN",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601001",
            "telephone_number": "914-277-4771",
            "fax_number": "914-277-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 HENRY ST",
            "city": "BUCHANAN",
            "state": "NY",
            "postal_code": "105111427",
            "telephone_number": "914-277-4771",
            "fax_number": "914-277-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BASED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARGOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "914-277-4771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "01154030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buchanan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.