NPIMap

Organization Active NPI

Arms Acres Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pleasantville, NY
National Provider Identifier
1154511764
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
080411252 Issued in NY
Legal business name
ARMS ACRES INC
Practice address
1075 Broadway
1St Floor, Rooms 250a and 258
Pleasantville, NY 10570-2346
Phone
(914) 773-6940
Fax
(914) 769-8505
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Patrice Wallace-Moore, LCSW-R
Title
Executive Director, Liberty Managem
Phone
(888) 227-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 080411252 NY Primary

Addresses

Primary practice location

1075 Broadway
1St Floor, Rooms 250a and 258
Pleasantville, NY 10570-2346

Mailing address

PO Box 1841
Albany, NY 12201-1841
Phone (518) 952-8408

Other identifiers 1

IdentifierTypeStateIssuer
01420795MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Arms Acres Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1075 Broadway
Fl 1
Pleasantville, NY 10570
Phone (914) 773-6940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1154511764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122011841",
            "telephone_number": "518-952-8408",
            "fax_number": "518-399-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BROADWAY",
            "address_2": "1ST FLOOR, ROOMS 250A AND 258",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702346",
            "telephone_number": "914-773-6940",
            "fax_number": "914-769-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMS ACRES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "WALLACE-MOORE",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, LIBERTY MANAGEM",
        "authorized_official_telephone_number": "888-227-4641",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "080411252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.