Loyola Recovery Foundation, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LOYOLA RECOVERY FOUNDATION, INC.

Practice address

76 Veterans Ave
6TH Floor
Bath, NY 14810-0810

Phone

(607) 664-5800

Fax

(607) 664-5801

NPI assigned

Nov 21, 2006

Last updated

Jul 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Basher

Title

President

Phone

(585) 203-1005

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Depaul2 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.

• Depaul

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, NY
  • NPI 1417949850
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: jshelby@direct.loyolarecovery.org

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey S Shelby, MD

  • Specialist
  • Plattsburgh, NY
  • NPI 1962437392
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1134294978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 PITTSFORD VICTOR RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343808",
            "telephone_number": "585-203-1005",
            "fax_number": "585-203-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 VETERANS AVE",
            "address_2": "6TH FLOOR",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148100810",
            "telephone_number": "607-664-5800",
            "fax_number": "607-664-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA RECOVERY FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "BASHER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-203-1005"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00689721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Lipinski, PHARMD
• Madison Edith Lodge, PT, DPT, CLT
• Amanda Victoria Loomis, PHARMD
• Tina Marie Loucks
• Michele Lowry
• Richard Lucas, PHD
• Beth Anne Lumia, LMSW
• Frank Macdonald, PA
• James E. Mack
• Lois-Jean Marie Madison, NP

• Substance Abuse Rehabilitation Facility in Bath, NY
• Providers in Bath, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.