NPIMap

Organization Active NPI

Green Chimneys Childrens Services

  • Foster Care Agency
  • Brewster, NY
National Provider Identifier
1265672158
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
GREEN CHIMNEYS CHILDRENS SERVICES
Practice address
400 Doansburg Rd
Caller Box 719
Brewster, NY 10509-0719
Phone
(845) 279-2995
Fax
(845) 279-2714
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mr. Angelo Matra
Title
Cfo
Phone
(845) 279-2995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

400 Doansburg Rd
Caller Box 719
Brewster, NY 10509-0719

Mailing address

400 Doansburg Rd
Caller Box 719
Brewster, NY 10509-0719
Phone (845) 279-2995

Other identifiers 4

IdentifierTypeStateIssuer
02978958MedicaidNY
00328001MedicaidNY
02842579MedicaidNY
01138563MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Green Chimneys4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

400 Doansburg Rd
#719
Brewster, NY 10509
Phone (845) 279-2995

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1265672158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOANSBURG RD",
            "address_2": "CALLER BOX 719",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105090719",
            "telephone_number": "845-279-2995",
            "fax_number": "845-279-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOANSBURG RD",
            "address_2": "CALLER BOX 719",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105090719",
            "telephone_number": "845-279-2995",
            "fax_number": "845-279-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHIMNEYS CHILDRENS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "MATRA",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-279-2995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02978958",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00328001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02842579",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01138563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.