Active NPI
Crotched Mountain Community Services
- Home Health Agency
- Albany, NY
National Provider Identifier
1356493894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CROTCHED MOUNTAIN COMMUNITY SERVICES
- Practice address
- 1873 Western Ave
Albany, NY 12203-5028 - Phone
- (518) 452-1214
- Fax
- (518) 452-3546
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Shumway
- Title
- President & Ceo
- Phone
- (603) 547-3311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NY | Primary |
Addresses
Primary practice location
1873 Western Ave
Albany, NY 12203-5028
Mailing address
1 Verney Dr
Crotched Mountain Foundation
Greenfield, NH 03047-5000
Phone (603) 547-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01739380 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1873 Western Ave
Albany, NY 12203
Phone (518) 690-4420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1356493894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VERNEY DR",
"address_2": "CROTCHED MOUNTAIN FOUNDATION",
"city": "GREENFIELD",
"state": "NH",
"postal_code": "030475000",
"telephone_number": "603-547-3311",
"fax_number": "603-547-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1873 WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122035028",
"telephone_number": "518-452-1214",
"fax_number": "518-452-3546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROTCHED MOUNTAIN COMMUNITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SHUMWAY",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "603-547-3311"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01739380",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.