Homespace Corp.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

HOMESPACE CORP.

Practice address

1030 Ellicott St
Buffalo, NY 14209-2127

Phone

(716) 881-4600

Fax

(716) 881-4604

NPI assigned

Oct 26, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kim Morris, LMSW

Title

Executive Director

Phone

(716) 881-4600

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Cooper

  • Mental Health Counselor
  • Lackawanna, NY
  • NPI 1205330362
  NPD
• Awa Ndow, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1871292953
  NPD

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1285006627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092127",
            "telephone_number": "716-881-4600",
            "fax_number": "716-881-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092127",
            "telephone_number": "716-881-4600",
            "fax_number": "716-881-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESPACE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-881-4600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makeda Holt, RN
• Kaitlin Holtz
• Tammy Holzman
• Andrea Marie Homer, LMSW
• Mercy Ann Homer, MS CCC SLP/L
• Erica Homme, FNP
• Amanda Marie Honan, LMHC
• Monica Lynn Hondzinski, SLP
• Alyssa H Hong, PMHNP
• Jessica Hong, NP

• Point of Service in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.