Care Coordination Partners of Upstate Ny, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CARE COORDINATION PARTNERS OF UPSTATE NY, LLC

Doing business as

Prime Care Coordination, LLC

Practice address

860 Hard Rd
Webster, NY 14580-8825

Phone

(585) 329-3977

NPI assigned

Oct 30, 2017

Last updated

Oct 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Boff

Title

Chief Executive Officer

Phone

(585) 329-3977

Specialties & licenses 1

Addresses

Other names 1

• Prime Care Coordination, LLC Doing business as

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1336651314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HARD RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808825",
            "telephone_number": "585-329-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HARD RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808825",
            "telephone_number": "585-329-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COORDINATION PARTNERS OF UPSTATE NY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "BOFF",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "585-329-3977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Coordination, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raquel Cantillo, DDS, MS
• Peter N Capicotto, MD
• Michele M Caponi, NCC, LPC
• Mary M Capparelli, NP
• Joel A Carangelo, DDS
• Faith Marie Carini-Graves, PMHNP(PSYCHIATRIC)
• Carl M Santo DDS PC
• James Carney, LCSW-R
• Sara Carpenter, LMSW
• Sherry K Carroll, LIC PRACTICAL NURSE

• Case Management Agency in Webster, NY
• Providers in Webster, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.