Organization Active NPI

Nysarc Inc. Ontario County Chapter

Doing business as Ontario ARC

  • Case Management Agency
  • Canandaigua, NY
National Provider Identifier
1467987933
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NYSARC INC. ONTARIO COUNTY CHAPTER
Doing business as
Ontario ARC
Practice address
3071 County Complex Dr
Canandaigua, NY 14424-9505
Phone
(585) 394-7500
Fax
(585) 394-1987
NPI assigned
Apr 21, 2017
Last updated
Aug 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Ann Scheetz
Title
Executive Director
Phone
(585) 394-7500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Voluntary or Charitable Agency 251V00000X NU
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

3071 County Complex Dr
Canandaigua, NY 14424-9505

Mailing address

3071 County Complex Dr
Canandaigua, NY 14424-9505
Phone (585) 394-7500

Other identifiers 5

IdentifierTypeStateIssuer
02093089MedicaidNY
02360552MedicaidNY
02702005MedicaidNY
01660306MedicaidNY
02003932MedicaidNY

Other names 1

  • Ontario ARC Doing business as

National Provider Directory

National Provider Directory

Locations

3071 County Complex Dr
Canandaigua, NY 14424
Phone (585) 394-4620

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1467987933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 COUNTY COMPLEX DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249505",
            "telephone_number": "585-394-7500",
            "fax_number": "585-394-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 COUNTY COMPLEX DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249505",
            "telephone_number": "585-394-7500",
            "fax_number": "585-394-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC INC. ONTARIO COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "SCHEETZ",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "585-394-7500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02093089",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02360552",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02702005",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660306",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02003932",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario ARC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.