Organization Active NPI

Baker Hall Inc

Doing business as OLV Human Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lackawanna, NY
National Provider Identifier
1285844084
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
76000440 Issued in NY
Legal business name
BAKER HALL INC
Doing business as
OLV Human Services
Practice address
790 Ridge Rd
Lackawanna, NY 14218-1629
Phone
(716) 828-9699
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Laurel Parzych
Title
Ceo/Coo
Phone
(716) 828-9751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 76000440 NY Primary

Addresses

Primary practice location

790 Ridge Rd
Lackawanna, NY 14218-1629

Mailing address

790 Ridge Road
Lackawanna, NY 14218-1629
Phone (716) 828-9751

Other identifiers 1

IdentifierTypeStateIssuer
00860417MedicaidNY

Other names 1

  • OLV Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baker Hall Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1285844084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 RIDGE ROAD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181629",
            "telephone_number": "716-828-9751",
            "fax_number": "716-828-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181629",
            "telephone_number": "716-828-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER HALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "PARZYCH",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "CEO/COO",
        "authorized_official_telephone_number": "716-828-9751"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "76000440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00860417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLV Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.