Organization Active NPI

Interim

  • Case Management Agency
  • Rochester, NY
National Provider Identifier
1306254347
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
283595 Issued in NY
Legal business name
INTERIM
Practice address
255 East Ave
Rochester, NY 14604-2625
Phone
(585) 978-4214
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
John R Sagajllo
Title
LPN
Phone
(585) 978-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 283595 NY Primary

Addresses

Primary practice location

255 East Ave
Rochester, NY 14604-2625

Mailing address

255 East Ave
Rochester, NY 14604-2625
Phone (585) 978-4214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1306254347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042625",
            "telephone_number": "585-978-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042625",
            "telephone_number": "585-978-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "SAGAJLLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "585-978-4424"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "283595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.