Active NPI
Arms Acres Inc
- Substance Use Disorder Rehabilitation Clinic/Center
- Chester, NY
National Provider Identifier
1407046998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 100210666
- Legal business name
- ARMS ACRES INC
- Practice address
- 3 Maple Ave
Chester, NY 10918-1324 - Phone
- (845) 469-2220
- Fax
- (845) 469-4011
- NPI assigned
- Jul 31, 2007
- Last updated
- Apr 29, 2021
- 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
- Patrice Wallace-Moore, LCSW-R
- Title
- Executive Director, Liberty MGT
- Phone
- (888) 227-4641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 100210666 | NY | Primary |
Addresses
Primary practice location
3 Maple Ave
Chester, NY 10918-1324
Mailing address
PO Box 1841
Albany, NY 12201-1841
Phone (518) 952-8408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420795 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040326000447 | NY | Part B Supplier - Clinic/Group Practice | 8820980691 |
Receives reassigned benefits from 16 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bronx, NY; Carmel, NY; Jamaica, NY |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Carmel, NY
- NPI 1235184227
O20040326000447
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Jamaica, NY
- NPI 1437106994
O20040326000447
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1538359401
O20040326000447
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bronx, NY
- NPI 1649474552
O20040326000447
National Provider Directory
National Provider DirectoryLocations
3 Maple Ave
Chester, NY 10918
Phone (845) 469-2220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Patterson, NY
- NPI 1396882312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1407046998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1841",
"city": "ALBANY",
"state": "NY",
"postal_code": "122011841",
"telephone_number": "518-952-8408",
"fax_number": "518-399-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MAPLE AVE",
"city": "CHESTER",
"state": "NY",
"postal_code": "109181324",
"telephone_number": "845-469-2220",
"fax_number": "845-469-4011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARMS ACRES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A",
"authorized_official_last_name": "WALLACE-MOORE",
"authorized_official_first_name": "PATRICE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR, LIBERTY MGT",
"authorized_official_telephone_number": "888-227-4641",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NY",
"license": "100210666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420795",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.