NPIMap

Organization Active NPI

Access: Supports for Living Inc

  • Case Management Agency
  • Middletown, NY
National Provider Identifier
1124213277
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ACCESS: SUPPORTS FOR LIVING INC
Practice address
15 Fortune Rd W
Middletown, NY 10941-1625
Phone
(845) 692-4454
Fax
(845) 692-8887
NPI assigned
Sep 12, 2007
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
OCCUPATIONS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Ms. Amy Anderson-Winchell, LCSW
Title
Chief Executive Officer
Phone
(845) 692-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

15 Fortune Rd W
Middletown, NY 10941-1625

Mailing address

15 Fortune Rd W
Middletown, NY 10941-1625
Phone (845) 692-4454

Other identifiers 1

IdentifierTypeStateIssuer
01189019MedicaidNY

Other names 1

  • Occupations Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Access Supports for Living8 organizations share this tax ID, including this one
Part of
Access Supports for Living

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": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1124213277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FORTUNE RD W",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411625",
            "telephone_number": "845-692-4454",
            "fax_number": "845-692-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FORTUNE RD W",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411625",
            "telephone_number": "845-692-4454",
            "fax_number": "845-692-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS: SUPPORTS FOR LIVING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCCUPATIONS INC",
        "enumeration_date": "2007-09-12",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-WINCHELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "845-692-4454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01189019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupations Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.