Gan Kavod, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

GAN KAVOD, INC.

Practice address

2050 Tilden Ave
New Hartford, NY 13413-3613

Phone

(315) 797-3114

Fax

(315) 797-6955

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Patricia A Hays, NHA

Title

Administrator

Phone

(315) 797-3114

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Gan Kavod Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gan Kavod, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • New Hartford, NY
  • NPI 1346415841
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194721688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 TILDEN AVE.",
            "address_2": "PO BOX 1000",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-797-3114",
            "fax_number": "315-797-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 TILDEN AVE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133613",
            "telephone_number": "315-797-3114",
            "fax_number": "315-797-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAN KAVOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-797-3114",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01224515",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01224506",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Samuel Gaetano, MD
• Joseph P Gale, M.D.
• Thomas W Gallagher, PT
• Marcy A. Gambino, P.A.
• Gan Kavod, Inc
• Kathleen M Garbooshian, M.D.
• Michaela Gardinier, PHARMD
• Bhisham Garg, M.D.
• Gateway Optometry, PLLC
• Kevin J Gehr, MS, PAC

• Intellectual Disabilities Intermediate Care Facility in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Intellectual Disabilities Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.