Organization Active NPI

Kaatskill Eldercare

  • Adult Companion
  • Roxbury, NY
National Provider Identifier
1629633763
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
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

Updated by the provider on May 3, 2019

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)CodeLicenseStatePrimary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address kaatskilleldercare@gmaail.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.