Organization Active NPI

Danforth Adult Care Center

  • Home Health Agency
  • Hoosick Falls, NY
National Provider Identifier
1215091152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0815L001 Issued in NY
Legal business name
DANFORTH ADULT CARE CENTER
Practice address
19 Danforth St
Hoosick Falls, NY 12090-1223
Phone
(518) 686-5167
Fax
(518) 686-4428
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glenn Mazula
Title
Owner
Phone
(518) 459-0786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0815L001 NY Primary

Addresses

Primary practice location

19 Danforth St
Hoosick Falls, NY 12090-1223

Mailing address

23 Computer Dr E
Albany, NY 12205-1276
Phone (518) 459-0786

Other identifiers 1

IdentifierTypeStateIssuer
01437278MedicaidNY

National Provider Directory

National Provider Directory

Locations

23 Computer Dr E
Albany, NY 12205
Phone (518) 438-6202

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215091152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COMPUTER DR E",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051276",
            "telephone_number": "518-459-0786",
            "fax_number": "518-459-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DANFORTH ST",
            "city": "HOOSICK FALLS",
            "state": "NY",
            "postal_code": "120901223",
            "telephone_number": "518-686-5167",
            "fax_number": "518-686-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANFORTH ADULT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZULA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-459-0786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0815L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01437278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoosick Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.