Active NPI
Kaatskill Eldercare
- Adult Companion
- Roxbury, NY
National Provider Identifier
1629633763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- KAATSKILL ELDERCARE
- Practice address
- 2000 County Highway 41
Roxbury, NY 12474-1412 - Phone
- (607) 373-9811
- NPI assigned
- May 3, 2019
- 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
- Kellie Sullivan
- Title
- President/Owner
- Phone
- (607) 373-9811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
2000 County Highway 41
Roxbury, NY 12474-1412
Mailing address
2000 County Highway 41
Roxbury, NY 12474-1412
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kaatskilleldercare@gmaail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556841600000",
"number": "1629633763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 COUNTY HIGHWAY 41",
"city": "ROXBURY",
"state": "NY",
"postal_code": "124741412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 COUNTY HIGHWAY 41",
"city": "ROXBURY",
"state": "NY",
"postal_code": "124741412",
"telephone_number": "607-373-9811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAATSKILL ELDERCARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-03",
"last_updated": "2019-05-03",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "KELLIE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "607-373-9811"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kaatskilleldercare@gmaail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2000 County Highway 41",
"city": "Roxbury",
"state": "NY",
"country_code": "US",
"postal_code": "124741412",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roxbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.