Organization Active NPI

Community Care of Western New York, Inc.

Doing business as HomeCare & Hospice

  • Non-emergency Medical Transport (VAN)
  • Allegany, NY
National Provider Identifier
1144365164
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
COMMUNITY CARE OF WESTERN NEW YORK, INC.
Doing business as
HomeCare & Hospice
Practice address
115 E Main St
Allegany, NY 14706-1318
Phone
(716) 372-2106
Fax
(716) 372-1148
NPI assigned
Feb 20, 2007
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Ms. Melissa Marion Sullivan
Title
Ceo
Phone
(716) 372-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

115 E Main St
Allegany, NY 14706-1318

Mailing address

115 E Main St
Allegany, NY 14706-1318
Phone (716) 372-2106

Other identifiers 1

IdentifierTypeStateIssuer
02588558MedicaidNY

Other names 1

  • HomeCare & Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Care of Western New York Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1225 W State St
Olean, NY 14760
Phone (716) 372-2106

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1144365164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147061318",
            "telephone_number": "716-372-2106",
            "fax_number": "716-372-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147061318",
            "telephone_number": "716-372-2106",
            "fax_number": "716-372-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE OF WESTERN NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-372-2106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02588558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allegany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.