Organization Active NPI

Chenango Valley Adult Enrichment Center

  • Adult Day Care Clinic/Center
  • Norwich, NY
National Provider Identifier
1194380964
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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 Directory

Locations

24 Canasawacta St
Norwich, NY 13815

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.