Organization Active NPI

Refugee & Immigrant Self-Empowerment

  • Case Management Agency
  • Syracuse, NY
National Provider Identifier
1336642040
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
REFUGEE & IMMIGRANT SELF-EMPOWERMENT
Practice address
302 Burt St
Syracuse, NY 13202-3911
Phone
(315) 214-4480
NPI assigned
Mar 9, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Haji Adan
Title
Executive Director
Phone
(315) 214-4480

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Home Health Agency 251E00000X NU
Public Health or Welfare Agency 251K00000X NU
Community Health Clinic/Center 261QC1500X NU

Addresses

Primary practice location

302 Burt St
Syracuse, NY 13202-3911

Mailing address

302 Burt St
Syracuse, NY 13202-3911
Phone (315) 214-4480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1336642040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023911",
            "telephone_number": "315-214-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023911",
            "telephone_number": "315-214-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGEE & IMMIGRANT SELF-EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "ADAN",
        "authorized_official_first_name": "HAJI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-214-4480"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.