Organization Active NPI

H C Watson Corporation

Doing business as Interim HealthCare Buffalo

  • Home Health Agency
  • Buffalo, NY
National Provider Identifier
1669405973
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0124L001 Issued in NY
Legal business name
H C WATSON CORPORATION
Doing business as
Interim HealthCare Buffalo
Practice address
361 Delaware Ave
Suite 400
Buffalo, NY 14202-1622
Phone
(716) 852-5900
Fax
(716) 852-5913
NPI assigned
Jul 9, 2006
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Ms. Judith C Ketteman
Title
Vice President/Area Manager
Phone
(716) 852-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0124L001 NY Primary

Addresses

Primary practice location

361 Delaware Ave
Suite 400
Buffalo, NY 14202-1622

Mailing address

361 Delaware Ave
Suite 400
Buffalo, NY 14202-1622
Phone (716) 852-5900

Other identifiers 2

IdentifierTypeStateIssuer
00806726MedicaidNY
00676393MedicaidNY

Other names 1

  • Interim HealthCare Buffalo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HC Watson3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

361 Delaware Ave
Ste 400
Buffalo, NY 14202

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1669405973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 DELAWARE AVE",
            "address_2": "SUITE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021622",
            "telephone_number": "716-852-5900",
            "fax_number": "716-852-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 DELAWARE AVE",
            "address_2": "SUITE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021622",
            "telephone_number": "716-852-5900",
            "fax_number": "716-852-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H C WATSON CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "KETTEMAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT/AREA MANAGER",
        "authorized_official_telephone_number": "716-852-5900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0124L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00806726",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00676393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.