NPIMap

Organization Active NPI

Ibero American Action Lueage, Inc.

  • Case Management Agency
  • Rochester, NY
National Provider Identifier
1164061628
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
IBERO AMERICAN ACTION LUEAGE, INC.
Practice address
817 East Main Street
Same
Rochester, NY 14605-5144
Phone
(585) 256-8900
Fax
(585) 544-8608
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Ms. Grisell Marin, BS, CASAC- TNPI 1598396384
Title
HCBS Director
Phone
(585) 256-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Respite Care 385H00000X

Addresses

Primary practice location

817 East Main Street
Same
Rochester, NY 14605-5144

Mailing address

817 East Main Street
Same
Rochester, NY 14605-5144
Phone (585) 256-8900

National Provider Directory

National Provider Directory

Locations

817 E Main St
Rochester, NY 14605
Phone (585) 256-8900

Practitioners & affiliated clinicians

Practitioners 3

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": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1164061628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 EAST MAIN STREET",
            "address_2": "SAME",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146055144",
            "telephone_number": "585-256-8900",
            "fax_number": "585-544-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 EAST MAIN STREET",
            "address_2": "SAME",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146055144",
            "telephone_number": "585-256-8900",
            "fax_number": "585-544-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERO AMERICAN ACTION LUEAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "GRISELL",
        "authorized_official_title_or_position": "HCBS DIRECTOR",
        "authorized_official_telephone_number": "585-256-8900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, CASAC- T"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.