Active NPI
Finger Lakes Independence Center
- Home Health Aide
- Ithaca, NY
National Provider Identifier
1710195631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- FINGER LAKES INDEPENDENCE CENTER
- Practice address
- 215 5TH St
Ithaca, NY 14850-3403 - Phone
- (607) 272-2433
- Fax
- (607) 272-0902
- NPI assigned
- May 21, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Lenore Schwager
- Title
- Executive Director
- Phone
- (607) 272-2433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
215 5TH St
Ithaca, NY 14850-3403
Mailing address
215 5TH St
Ithaca, NY 14850-3403
Phone (607) 272-2433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01776461 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Finger Lakes Independence Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Ithaca, NY
- NPI 1760733026
Locations
215 5th St
Ithaca, NY 14850
Phone (607) 272-2433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710195631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 5TH ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503403",
"telephone_number": "607-272-2433",
"fax_number": "607-272-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 5TH ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503403",
"telephone_number": "607-272-2433",
"fax_number": "607-272-0902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FINGER LAKES INDEPENDENCE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHWAGER",
"authorized_official_first_name": "LENORE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "607-272-2433",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01776461",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.