Saratoga County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4520301N Issued in NY

Legal business name

SARATOGA COUNTY

Practice address

149 Ballston Avenue
Ballston Spa, NY 12020

Phone

(518) 885-2288

Fax

(518) 885-2221

NPI assigned

Aug 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Diane L Brown

Title

Administrator

Phone

(518) 885-2218

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saratoga County Maplewood Manor Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Saratoga County

  • State or Local Public Health Clinic/Center
  • Ballston Spa, NY
  • NPI 1679691745

  Member Of

  NPD member

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1457469876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BALLSTON AVENUE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-885-2288",
            "fax_number": "518-885-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 BALLSTON AVENUE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-885-2288",
            "fax_number": "518-885-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-885-2218",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4520301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga County Maplewood Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Lee Russell
• Michelle L Ryan, FNP
• Diane M. Sabanos, R.N.
• Kyle William Sampson, ND
• Saratoga Center for Care LLC
• Saratoga County
• Saratoga County Department of Health
• Saratoga County Department of Health
• Saratoga County Department of Health
• Saratoga County Department of Health

• Skilled Nursing Facility in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.