Organization Active NPI

Living Resources Home Care Agency, Inc

  • In Home Supportive Care Agency
  • Albany, NY
National Provider Identifier
1215925243
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0743L002 Issued in NY
Legal business name
LIVING RESOURCES HOME CARE AGENCY, INC
Practice address
300 Washington Avenue Ext
Albany, NY 12203-7303
Phone
(518) 218-0000
Fax
(518) 867-8704
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Mr. Fredrick W Erlich
Title
Ceo
Phone
(518) 218-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0743L002 NY Primary

Addresses

Primary practice location

300 Washington Avenue Ext
Albany, NY 12203-7303

Mailing address

300 Washington Avenue Ext
Albany, NY 12203-7303
Phone (518) 218-0000

Other identifiers 1

IdentifierTypeStateIssuer
02172856MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1215925243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-218-0000",
            "fax_number": "518-867-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-218-0000",
            "fax_number": "518-867-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING RESOURCES HOME CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "ERLICH",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-218-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "0743L002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02172856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.