Living Resources Corportion
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Granite Springs, NY
NPI 1356417869 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356417869
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- LIVING RESOURCES CORPORTION
- Practice address
- 186 Mahopac Ave
Granite Springs, NY 10527-0183 - Phone
- (914) 248-8101
- Fax
- (914) 248-5606
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Fredrick William Elrich
- Title
- Executive Director
- Phone
- (518) 346-8888
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Living Resources Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
186 Mahopac Ave
Granite Springs, NY 10527-0183
Mailing address
2176 Guilderland Ave
Schenectady, NY 12306-4403
Phone (518) 346-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01116361 | Medicaid | NY |
Other providers in Granite Springs, NY
- Susan B. Hintze
- Alyssa Huber
- Christina Marie Kozlowski
- Debbie Lang
- Shlomo Lang
- Margarete Louise McKinstry
- Bambina Meyers
- Allison Miele
- Anne Elizabeth Peck-Davis
- Pamela Roden
All providers in Granite Springs, NY · Intellectual Disabilities Intermediate Care Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.