NPIMap

Organization Active NPI

Living Resources Corportion

  • Intellectual Disabilities Intermediate Care Facility
  • Granite Springs, NY
National Provider Identifier
1356417869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 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
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
Fredrick William Elrich
Title
Executive Director
Phone
(518) 346-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

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 1

IdentifierTypeStateIssuer
01116361MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Living Resources Corporation10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356417869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 GUILDERLAND AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123064403",
            "telephone_number": "518-346-8888",
            "fax_number": "518-346-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MAHOPAC AVE",
            "city": "GRANITE SPRINGS",
            "state": "NY",
            "postal_code": "105270183",
            "telephone_number": "914-248-8101",
            "fax_number": "914-248-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING RESOURCES CORPORTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELRICH",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-346-8888"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01116361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Springs, 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.