Organization Active NPI

Options for Community Living, Inc.

  • Case Management Agency
  • Ronkonkoma, NY
National Provider Identifier
1497827182
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OPTIONS FOR COMMUNITY LIVING, INC.
Practice address
25 Howard PL
Ronkonkoma, NY 11779-7206
Phone
(631) 361-9020
Fax
(631) 361-9192
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Yolanda Robano-Gross, LMSW, MHA
Title
Executive Director
Phone
(631) 361-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NY Primary

Addresses

Primary practice location

25 Howard PL
Ronkonkoma, NY 11779-7206

Mailing address

25 Howard PL
Ronkonkoma, NY 11779-7206
Phone (631) 361-9020

Other identifiers 1

IdentifierTypeStateIssuer
01491574MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Options for Community Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

202 E Main St
Smithtown, NY 11787

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1497827182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOWARD PL",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797206",
            "telephone_number": "631-361-9020",
            "fax_number": "631-361-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOWARD PL",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797206",
            "telephone_number": "631-361-9020",
            "fax_number": "631-361-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS FOR COMMUNITY LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "ROBANO-GROSS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-361-9020",
        "authorized_official_credential": "LMSW, MHA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01491574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.