Active NPI
Belvedere Health Services LLC.
- Home Health Agency
- Albany, NY
National Provider Identifier
1154592632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BELVEDERE HEALTH SERVICES LLC.
- Practice address
- 39 Columbia St
Albany, NY 12207-2824 - Phone
- (518) 694-9400
- Fax
- (518) 694-4419
- NPI assigned
- Mar 12, 2008
- 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
- Mr. John H McCooey Jr.
- Title
- President
- Phone
- (518) 694-9400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Assisted Living Facility | 310400000X | NY | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NY |
Addresses
Primary practice location
39 Columbia St
Albany, NY 12207-2824
Mailing address
1 Van Tromp St
Albany, NY 12207-2213
Phone (518) 694-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02143057 | Medicaid | NY | |
| 02738118 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Belvedere
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Newburgh, NY
- NPI 1700282258
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Albany, NY
- NPI 1568720027
-
- Home Health Agency
- Albany, NY
- NPI 1942507132
Locations
1 Van Tromp St
Albany, NY 12207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609286400000",
"number": "1154592632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VAN TROMP ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072213",
"telephone_number": "518-694-9400",
"fax_number": "518-694-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 COLUMBIA ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072824",
"telephone_number": "518-694-9400",
"fax_number": "518-694-4419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELVEDERE HEALTH SERVICES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2020-12-30",
"certification_date": "2020-12-07",
"status": "A",
"authorized_official_last_name": "MCCOOEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "518-694-9400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02143057",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02738118",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.