Otsego County Chapter, Nysarc, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

00994885 Issued in NY

Legal business name

OTSEGO COUNTY CHAPTER, NYSARC, INC.

Practice address

47 Jefferson Ave
Oneonta, NY 13820-1146

Phone

(607) 432-7860

Fax

(607) 432-7864

NPI assigned

Mar 17, 2008

Organization subpart

Yes

Parent organization

NYSARC, INC.As reported in NPPES

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

Authorized official

Name

Mr. Joe S. Judd

Title

Executive Director

Phone

(607) 433-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Otsego County Chapter Nysarc Inc2 organizations share this tax ID, including this one

Part of

Putnam County Chapter Nys

Other organizations with this tax ID 1

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

• Otsego County Chapter, Nysarc, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Oneonta, NY
  • NPI 1710002167
  NPD tax ID

Locations

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1437320694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "address_2": "35 ACADEMY STREET",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138200490",
            "telephone_number": "607-433-8409",
            "fax_number": "607-433-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 JEFFERSON AVE",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201146",
            "telephone_number": "607-432-7860",
            "fax_number": "607-432-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO COUNTY CHAPTER, NYSARC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYSARC, INC.",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-433-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "00994885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00994885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oneonta Internal Medicine, PC
• Oneonta Optical LLC
• Opportunities for Otsego, Inc
• Ornc LLC
• Ornh, Inc.
• Otsego County Chapter, Nysarc, Inc.
• Otsego County Chemical Dependency Clinic
• Otsego County Chemical Dependency Clinic
• Otsego County Mental Health
• Otsego Dental Care PLLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oneonta, NY
• Providers in Oneonta, NY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.