Organization Active NPI

Community Living and Advocacy Supports Inc

  • Case Management Agency
  • Saratoga Springs, NY
National Provider Identifier
1578720249
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMUNITY LIVING AND ADVOCACY SUPPORTS INC
Practice address
34 Greenfield Ave
Saratoga Springs, NY 12866-1503
Phone
(518) 584-6340
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mr. Edge Bagg
Title
Exec Dir
Phone
(518) 475-1383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

34 Greenfield Ave
Saratoga Springs, NY 12866-1503

Mailing address

34 Greenfield Ave
Saratoga Springs, NY 12866-1503
Phone (518) 584-6340

Other identifiers 2

IdentifierTypeStateIssuer
02007207MedicaidNY
01997731MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1578720249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GREENFIELD AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661503",
            "telephone_number": "518-584-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GREENFIELD AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661503",
            "telephone_number": "518-584-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING AND ADVOCACY SUPPORTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BAGG",
        "authorized_official_first_name": "EDGE",
        "authorized_official_title_or_position": "EXEC DIR",
        "authorized_official_telephone_number": "518-475-1383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02007207",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01997731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.