Active NPI
Southern Tier Environments for Living
- Case Management Agency
- Dunkirk, NY
National Provider Identifier
1578729372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SOUTHERN TIER ENVIRONMENTS FOR LIVING
- Practice address
- 715 Central Ave
Dunkirk, NY 14048-2504 - Phone
- (716) 366-3200
- NPI assigned
- Jul 31, 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. Thomas J. Whitney
- Title
- Executive Director
- Phone
- (716) 366-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
715 Central Ave
Dunkirk, NY 14048-2504
Mailing address
715 Central Ave
Dunkirk, NY 14048-2504
Phone (716) 366-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02189848 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Southern Tier Environments for Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Dunkirk, NY
- NPI 1992961098
Locations
715 Central Ave
Dunkirk, NY 14048
Phone (716) 366-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1578729372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482504",
"telephone_number": "716-366-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482504",
"telephone_number": "716-366-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN TIER ENVIRONMENTS FOR LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-31",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "WHITNEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "716-366-3200",
"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": "02189848",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.