Organization Active NPI

Peregrine Homecare

  • Home Health Agency
  • Skaneateles, NY
National Provider Identifier
1417497785
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1509L001 Issued in NY
Legal business name
PEREGRINE HOMECARE
Practice address
1551 East Genesee Street
Suite 100
Skaneateles, NY 13152-8879
Phone
(315) 685-5170
Fax
(315) 685-5186
NPI assigned
Mar 6, 2017
Organization subpart
Yes
Parent organization
PEREGRINE HOMECARE STRATEGIES OF NEW YORK, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Cassandra Ann Kalet-Clare, R.N.
Title
Executive Director
Phone
(315) 685-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1509L001 NY Primary

Addresses

Primary practice location

1551 East Genesee Street
Suite 100
Skaneateles, NY 13152-8879

Mailing address

1551 East Genesee Street
Suite 100
Skaneateles, NY 13152
Phone (315) 685-5170

National Provider Directory

National Provider Directory
Part of
Peregrine Homecare

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1417497785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 EAST GENESEE STREET",
            "address_2": "SUITE 100",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "13152",
            "telephone_number": "315-685-5170",
            "fax_number": "315-685-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 EAST GENESEE STREET",
            "address_2": "SUITE 100",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131528879",
            "telephone_number": "315-685-5170",
            "fax_number": "315-685-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGRINE HOMECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEREGRINE HOMECARE STRATEGIES OF NEW YORK, LLC.",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "KALET-CLARE",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-685-5170",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1509L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.