Organization Active NPI

Mohawk Valley Home Care LLC

  • Oxygen Equipment & Supplies (DME)
  • Utica, NY
National Provider Identifier
1285749457
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MOHAWK VALLEY HOME CARE LLC
Practice address
2521 Sunset Avenue
Utica, NY 13502-5825
Phone
(315) 624-4663
Fax
(315) 624-4540
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mrs. Andrea L Lazarek-Laquay, RN
Title
Director of Patient Services
Phone
(315) 624-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2521 Sunset Avenue
Utica, NY 13502-5825

Mailing address

2521 Sunset Avenue
Utica, NY 13502-5825
Phone (315) 624-4660

Other identifiers 1

IdentifierTypeStateIssuer
01496088MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1285749457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 SUNSET AVENUE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025825",
            "telephone_number": "315-624-4660",
            "fax_number": "315-624-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 SUNSET AVENUE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025825",
            "telephone_number": "315-624-4663",
            "fax_number": "315-624-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK VALLEY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "LAZAREK-LAQUAY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT SERVICES",
        "authorized_official_telephone_number": "315-624-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01496088",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.