NPIMap

Organization Active NPI

Berkshire Farm Center & Services for Youth

  • Developmentally Disabled Services Day Training Agency
  • Rochester, NY
National Provider Identifier
1316088982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BERKSHIRE FARM CENTER & SERVICES FOR YOUTH
Practice address
25 Franklin St Ste 1059
Rochester, NY 14604-1009
Phone
(585) 454-1620
Fax
(585) 454-6814
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John F. Cox Jr.
Title
Chief Financial Officer
Phone
(518) 781-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

25 Franklin St Ste 1059
Rochester, NY 14604-1009

Mailing address

13640 State Route 22
Canaan, NY 12029-3504
Phone (518) 781-4567

Other identifiers 2

IdentifierTypeStateIssuer
02513115MedicaidNY
02825845MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Farm Center Services for Youth8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316088982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 STATE ROUTE 22",
            "city": "CANAAN",
            "state": "NY",
            "postal_code": "120293504",
            "telephone_number": "518-781-4567",
            "fax_number": "518-781-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FRANKLIN ST STE 1059",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041009",
            "telephone_number": "585-454-1620",
            "fax_number": "585-454-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE FARM CENTER & SERVICES FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-781-4567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02513115",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02825845",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.