The Strawberry Mansion Society

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE STRAWBERRY MANSION SOCIETY

Practice address

415 William St
Elmira, NY 14901-2533

Phone

(607) 846-3505

Fax

(607) 216-3319

NPI assigned

Oct 26, 2012

Last updated

Oct 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Monique Danielle Gravatt

Title

Executive Director

Phone

(607) 846-3505

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1477806545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WILLIAM ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012533",
            "telephone_number": "607-846-3505",
            "fax_number": "607-216-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WILLIAM ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012533",
            "telephone_number": "607-846-3505",
            "fax_number": "607-216-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STRAWBERRY MANSION SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "GRAVATT",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-846-3505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03128645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Thatcher, LCSW-R
• The Chautauqua Center, Inc
• The Chautauqua Center, Inc.
• The Nourished Life LLC : Nutrition Therapy & Diabetes Care
• The Salvation Army
• Thomas R Mitchell MD PC
• Alan Thomas
• Carol Ann Thomas, LPN
• Emmannuel Thomas, FNP-C
• Kevin Joe Thomas, MD

• Home Health Agency in Elmira, NY
• Providers in Elmira, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.