Active NPI
Community Living and Advocacy Supports Inc
- Case Management Agency
- Saratoga Springs, NY
National Provider Identifier
1578720249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02007207 | Medicaid | NY | |
| 01997731 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.