Active NPI
North Country Home Services, Inc.
- Home Health Agency
- Saranac Lake, NY
National Provider Identifier
1144223322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0113L001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00891736 | Medicaid | NY | |
| 01293030 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.