Organization Active NPI

Franklin Hamilton Chapter Nysarc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tupper Lake, NY
National Provider Identifier
1609920438
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
6774445 Issued in NY
Legal business name
FRANKLIN HAMILTON CHAPTER NYSARC
Practice address
12 Mohawk St
Tupper Lake, NY 12986-1028
Phone
(518) 359-3351
Fax
(518) 359-7820
NPI assigned
Jan 22, 2007
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Sadie Spada
Title
Ceo
Phone
(518) 359-7518

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 6774445 NY Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

12 Mohawk St
Tupper Lake, NY 12986-1028

Mailing address

12 Mohawk St
Tupper Lake, NY 12986-1028
Phone (518) 359-3351

Other identifiers 1

IdentifierTypeStateIssuer
00921022MedicaidNY

National Provider Directory

National Provider Directory

Locations

12 Mohawk St
Tupper Lake, NY 12986
Phone (518) 359-3351

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1609920438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MOHAWK ST",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129861028",
            "telephone_number": "518-359-3351",
            "fax_number": "518-359-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MOHAWK ST",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129861028",
            "telephone_number": "518-359-3351",
            "fax_number": "518-359-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN HAMILTON CHAPTER NYSARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SPADA",
        "authorized_official_first_name": "SADIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-359-7518"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "6774445",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00921022",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupper Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.