Organization Active NPI

Northbrook Heights Alp

  • Assisted Living Facility
  • Auburn, NY
National Provider Identifier
1326213455
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORTHBROOK HEIGHTS ALP
Practice address
170 Murray St
Auburn, NY 13021-1335
Phone
(315) 253-2755
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Ms. Casey King
Title
Administrator
Phone
(315) 253-2755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

170 Murray St
Auburn, NY 13021-1335

Mailing address

170 Murray St
Auburn, NY 13021-1335
Phone (315) 253-2755

Other identifiers 2

IdentifierTypeStateIssuer
02044888MedicaidNY
02132525MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
North Brook Heights - PCS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1326213455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MURRAY ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211335",
            "telephone_number": "315-253-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MURRAY ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211335",
            "telephone_number": "315-253-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBROOK HEIGHTS ALP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-253-2755",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02044888",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02132525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.