Active NPI
Gregory P Collis
- Home Health Agency
- Hubbardsville, NY
National Provider Identifier
1174731335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0824A003
- Legal business name
- GREGORY P COLLIS
- Practice address
- 8196 Green Rd
Hubbardsville, NY 13355-1132 - Phone
- (315) 382-6725
- NPI assigned
- May 20, 2007
- 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. Gregory Paul Collis
- Title
- Operator
- Phone
- (315) 382-6725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0824A003 | NY | Primary |
Addresses
Primary practice location
8196 Green Rd
Hubbardsville, NY 13355-1132
Mailing address
212 Highland St
Syracuse, NY 13203-1603
Phone (315) 382-6725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02072686 | Medicaid | NY |
Other names 1
- Hamilton Limited Home Care Services Agency
National Provider Directory
National Provider Directory- Tax ID family
- Gregory P Collis
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Syracuse, NY
- NPI 1104034362
-
- Home Health Agency
- Manlius, NY
- NPI 1861600025
-
- Non-emergency Medical Transport (VAN)
- Hubbardsville, NY
- NPI 1376754309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1174731335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 HIGHLAND ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031603",
"telephone_number": "315-382-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8196 GREEN RD",
"city": "HUBBARDSVILLE",
"state": "NY",
"postal_code": "133551132",
"telephone_number": "315-382-6725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY P COLLIS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-20",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "COLLIS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "315-382-6725",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "0824A003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02072686",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hamilton Limited Home Care Services Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hubbardsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.