Active NPI
Danforth Adult Care Center
- Home Health Agency
- Hoosick Falls, NY
National Provider Identifier
1215091152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0815L001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01437278 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.