Active NPI
Chenango Valley Adult Enrichment Center
- Adult Day Care Clinic/Center
- Norwich, NY
National Provider Identifier
1194380964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- CHENANGO VALLEY ADULT ENRICHMENT CENTER
- Practice address
- 14 Canasawacta St
Norwich, NY 13815-1623 - Phone
- (607) 334-6598
- Fax
- (607) 336-6625
- NPI assigned
- May 7, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Jennifer Victoria-Mae Randall
- Title
- Executive Director
- Phone
- (607) 334-6598
National Provider Directory
National Provider DirectoryLocations
24 Canasawacta St
Norwich, NY 13815
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14 Canasawacta St
Norwich, NY 13815-1623
Mailing address
24 Canasawacta St
Norwich, NY 13815-1623
Phone (607) 334-6598
Other names 1
NPPES NPI Registry- Chenango Valley Home & Apartments
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2019.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557187200000",
"number": "1194380964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CANASAWACTA ST",
"city": "NORWICH",
"state": "NY",
"postal_code": "138151623",
"telephone_number": "607-334-6598",
"fax_number": "607-336-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CANASAWACTA ST",
"city": "NORWICH",
"state": "NY",
"postal_code": "138151623",
"telephone_number": "607-334-6598",
"fax_number": "607-336-6625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHENANGO VALLEY ADULT ENRICHMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-07",
"last_updated": "2019-05-07",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "VICTORIA-MAE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "607-334-6598",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chenango Valley Home & Apartments",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.