Organization Active NPI

North Country Home Services, Inc.

  • Home Health Agency
  • Saranac Lake, NY
National Provider Identifier
1144223322
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0113L001 Issued in NY
Legal business name
NORTH COUNTRY HOME SERVICES, INC.
Practice address
25 Church St
Saranac Lake, NY 12983-1816
Phone
(518) 891-5611
Fax
(518) 891-2055
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mrs. Rebecca Joy Leahy, RN
Title
Executive Director
Phone
(518) 891-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0113L001 NY Primary

Addresses

Primary practice location

25 Church St
Saranac Lake, NY 12983-1816

Mailing address

25 Church St
Saranac Lake, NY 12983-1816
Phone (518) 891-5611

Other identifiers 2

IdentifierTypeStateIssuer
00891736MedicaidNY
01293030MedicaidNY

National Provider Directory

National Provider Directory

Locations

25 Church St
Saranac Lake, NY 12983
Phone (518) 891-5611

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1144223322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHURCH ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831816",
            "telephone_number": "518-891-5611",
            "fax_number": "518-891-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831816",
            "telephone_number": "518-891-5611",
            "fax_number": "518-891-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY HOME SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-891-5611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0113L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00891736",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01293030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.