NPIMap

Organization Active NPI

Cazenovia Recovery Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lockport, NY
National Provider Identifier
1366807240
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
161211951 Issued in NY
Legal business name
CAZENOVIA RECOVERY SYSTEMS, INC.
Practice address
5586 Niagara Street Ext
Lockport, NY 14094-1804
Phone
(716) 438-9131
Fax
(716) 438-9653
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Lindsay Herndon
Title
Ceo
Phone
(716) 314-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 161211951 NY Primary

Addresses

Primary practice location

5586 Niagara Street Ext
Lockport, NY 14094-1804

Mailing address

2495 Main St Ste 417
Buffalo, NY 14214-2152
Phone (716) 852-4331

Other identifiers 3

IdentifierTypeStateIssuer
241112051OtherNYNY OASAS
04591168MedicaidNY
03A3488OtherNYNY DOH

Other names 1

  • Madonna House Other name

National Provider Directory

National Provider Directory
Tax ID family
Cazenovia Recovery Systems Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5586 Niagara Street Ext
Lockport, NY 14094
Phone (716) 438-9131

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1366807240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST STE 417",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-852-4331",
            "fax_number": "716-852-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5586 NIAGARA STREET EXT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941804",
            "telephone_number": "716-438-9131",
            "fax_number": "716-438-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZENOVIA RECOVERY SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-314-5903"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "161211951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY OASAS",
            "identifier": "241112051",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04591168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY DOH",
            "identifier": "03A3488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madonna House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Madonna House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.