Family Promise of Wayne County

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FAMILY PROMISE OF WAYNE COUNTY

Practice address

72 Broad St
Lyons, NY 14489-1123

Phone

(315) 359-0850

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Nancy M Ramos

Title

Care Coordinator

Phone

(315) 359-0850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1700420304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BROAD ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891123",
            "telephone_number": "315-359-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BROAD ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891123",
            "telephone_number": "315-359-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PROMISE OF WAYNE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "315-359-0850"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Claire Edell, RN, BSN
• Terry Dennise Edwards Sr.
• Cara Elias, PMHNP
• Linda Johanna Eygnor, M.S.
• Family Dentistry of Lyons, P.C
• Calista Marie Felton, ADVANCED CASAC
• Amy M Fenn, BSW
• Anne Marie Fisher, LPN
• Julie Lyn Foss
• Tina Yvette Foster, LPN

• Case Manager/Care Coordinator in Lyons, NY
• Providers in Lyons, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.