Chautauqua Adult Day Care Centers, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CHAUTAUQUA ADULT DAY CARE CENTERS, INC

Practice address

358 E 5TH St
Jamestown, NY 14701-5550

Phone

(716) 665-4866

Fax

(716) 665-4822

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Frank Bercik

Title

Executive Director

Phone

(716) 665-4899

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chautauqua Adult Day Care Centers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chautauqua Adult Day Care Centers, Inc

  • Adult Day Care Clinic/Center
  • Dunkirk, NY
  • NPI 1265393532
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Chautauqua Adult Day Care Centers, Inc

  • Adult Day Care Clinic/Center
  • Dunkirk, NY
  • NPI 1265393532
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1124492046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E 5TH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015550",
            "telephone_number": "716-665-4899",
            "fax_number": "716-665-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E 5TH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015550",
            "telephone_number": "716-665-4866",
            "fax_number": "716-665-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA ADULT DAY CARE CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "BERCIK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-665-4899"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMIS",
            "identifier": "02704589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles W Mistretta, DPM, PC
• Laurie A Charles, LCSW
• Jeffrey Chase, RN
• Kimbra A Chase, LMSW
• Monir Chaudhry, M.D.
• Chautauqua Area Regional Transit System
• Chautauqua Blind Association
• Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center
• Chautauqua County Chapter of Nysarc Inc
• Chautauqua County Chapter of Nysarc Inc

• All providers in Jamestown, NY
• Adult Day Care Clinic/Center in New York

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