Organization Active NPI

Nysarc Inc., Saratoga County Chapter

  • Intellectual Disabilities Intermediate Care Facility
  • Saratoga Springs, NY
National Provider Identifier
1255473468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
6201440 Issued in NY
Legal business name
NYSARC INC., SARATOGA COUNTY CHAPTER
Doing business as
Saratoga Bridges
Practice address
64 Washington St
Saratoga Springs, NY 12866-4133
Phone
(518) 584-4411
NPI assigned
Feb 13, 2007
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
Ms. Valerie A Muratori
Title
Executive Director
Phone
(518) 587-0723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 6201440 NY Primary

Addresses

Primary practice location

64 Washington St
Saratoga Springs, NY 12866-4133

Mailing address

16 Saratoga Bridges Blvd.
Ballston Spa, NY 12020
Phone (518) 587-0723

Other identifiers 1

IdentifierTypeStateIssuer
00848444MedicaidNY

Other names 1

  • Saratoga Bridges Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nysarc Inc Saratoga County Chapter3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

16 Saratoga Bridges Blvd
Ballston Spa, NY 12020
Phone (518) 587-0723

64 Washington St
Saratoga Springs, NY 12866
Phone (518) 584-4411

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255473468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SARATOGA BRIDGES BLVD.",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-587-0723",
            "fax_number": "518-583-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WASHINGTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664133",
            "telephone_number": "518-584-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC INC., SARATOGA COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURATORI",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-587-0723",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "6201440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00848444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga Bridges",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga Springs, 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.