NPIMap

Organization Active NPI

Living Resources Corporation

  • Intellectual Disabilities Intermediate Care Facility
  • Mohegan Lake, NY
National Provider Identifier
1750457438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
LIVING RESOURCES CORPORATION
Practice address
8 Dyckman Dr
Mohegan Lake, NY 10547-1851
Phone
(914) 526-6167
Fax
(914) 526-6169
NPI assigned
Nov 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Frederick William Elrich
Title
Executive Director
Phone
51834688888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

8 Dyckman Dr
Mohegan Lake, NY 10547-1851

Mailing address

2176 Guilderland Ave
Schenectady, NY 12306-4403
Phone (518) 346-8888

Other identifiers 1

IdentifierTypeStateIssuer
01281456MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Living Resources Corporation10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750457438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 GUILDERLAND AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123064403",
            "telephone_number": "518-346-8888",
            "fax_number": "518-346-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DYCKMAN DR",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471851",
            "telephone_number": "914-526-6167",
            "fax_number": "914-526-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING RESOURCES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELRICH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "51834688888"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohegan Lake, 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.

Verify at the official NPI Registry.