Active NPI
Baker Hall Inc
Doing business as Baker Victory Services
- Intellectual Disabilities Intermediate Care Facility
- Lackawanna, NY
National Provider Identifier
1588875652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- BAKER HALL INC
- Doing business as
- Baker Victory Services
OLV Human Services - Practice address
- 188 Martin Road
Lackawanna, NY 14218-2708 - Phone
- (716) 828-7485
- Fax
- (716) 827-8581
- NPI assigned
- May 24, 2007
- Last updated
- Oct 21, 2021
- 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
- Laurel Parzych
- Title
- Cfo/Coo
- Phone
- (716) 828-9751
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NY | Primary | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 76600441 | NY |
Addresses
Primary practice location
188 Martin Road
Lackawanna, NY 14218-2708
Mailing address
790 Ridge Road
Lackawanna, NY 14218-1629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01129946 | Medicaid | NY |
Other names 2
- Baker Victory Services
- OLV Human Services
National Provider Directory
National Provider Directory- Tax ID family
- Baker Hall Inc
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Baker Victory Services
- Intellectual Disabilities Intermediate Care Facility
- Lackawanna, NY
- NPI 1023229192
-
dba OLV Human Services
- Nursing Facility/Intermediate Care Facility
- Lackawanna, NY
- NPI 1114138286
-
dba OLV Human Services
- Developmentally Disabled Services Day Training Agency
- Lackawanna, NY
- NPI 1669695391
-
dba OLV Human Services
- Community/Behavioral Health Agency
- Lackawanna, NY
- NPI 1124482344
-
dba Baker Victory Services
- Community/Behavioral Health Agency
- Lackawanna, NY
- NPI 1245352921
-
dba OLV Human Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lackawanna, NY
- NPI 1285844084
-
dba OLV Human Services
- Psychiatric Residential Treatment Facility
- Lackawanna, NY
- NPI 1396956462
-
dba OLV Human services
- Nursing Facility/Intermediate Care Facility
- Lackawanna, NY
- NPI 1447461876
-
dba Baker Victory Services
- Early Intervention Provider Agency
- Lackawanna, NY
- NPI 1700013927
-
- Nursing Facility/Intermediate Care Facility
- Lackawanna, NY
- NPI 1205047370
Locations
188 Martin Rd
Lackawanna, NY 14218
Phone (716) 828-7485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1588875652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 RIDGE ROAD",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142181629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 MARTIN ROAD",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142182708",
"telephone_number": "716-828-7485",
"fax_number": "716-827-8581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKER HALL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "PARZYCH",
"authorized_official_first_name": "LAUREL",
"authorized_official_title_or_position": "CFO/COO",
"authorized_official_telephone_number": "716-828-9751"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "76600441",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01129946",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Baker Victory Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baker Victory Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "OLV Human Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lackawanna, NY
- Baker Hall Inc (Baker Victory Services)
- Baker Hall Inc (Baker Victory Services)
- Baker Hall Inc (OLV Human Services)
- Baker Hall Inc (OLV Human Services)
- Baker Hall Inc (OLV Human services)
- Baker Hall Inc (Baker Victory Services)
- Baker Hall Inc (ChildPro)
- Baker Victory
- Baker Victory Healthcare Center
- Baker Victory Healthcare Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.