Active NPI
Mohawk Valley Home Care LLC
- Oxygen Equipment & Supplies (DME)
- Utica, NY
National Provider Identifier
1285749457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01496088 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Utica, NY
- NPI 1861588469
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
- Taha Mohammad, MD
- Mohawk Hospital Equipment, Inc.
- Mohawk Valley Cardiology PC
- Mohawk Valley Ec, LLC (Mohawk Valley Endoscopy Center)
- Mohawk Valley Family Medicine PLLC
- Mohawk Valley Imaging, PC
- Mohawk Valley Nephrology Associates, LLP (Mohawk Valley Nephrology Associates)
- Mohawk Valley Nephrology PLLC
- Mohawk Valley Nutritional Services, PLLC
- Mohawk Valley Orthopedicsn LLP
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.