NPIMap

Organization Active NPI

County of Wayne

  • Public Health or Welfare Agency
  • Lyons, NY
National Provider Identifier
1760576763
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
5823200R Issued in NY
Legal business name
COUNTY OF WAYNE
Practice address
1519 Nye Rd
Suite 200
Lyons, NY 14489-9133
Phone
(315) 946-5749
Fax
(315) 946-5762
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
COUNTY OF WAYNEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Diane Marie Devlin, RN, BSNNPI 1831345701
Title
Director
Phone
(315) 946-5749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 5823200R NY Primary
Clinic/Center 261Q00000X 5823200R NY
Community Health Clinic/Center 261QC1500X 5823200R NY
State or Local Public Health Clinic/Center 261QP0905X 5823200R NY

Addresses

Primary practice location

1519 Nye Rd
Suite 200
Lyons, NY 14489-9133

Mailing address

1519 Nye Rd Ste 200
Lyons, NY 14489-9112
Phone (315) 946-5749

Other identifiers 2

IdentifierTypeStateIssuer
00355413MedicaidNY
3001907MedicaidNY

Other names 1

  • Wayne County Public Health Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000486 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8921919994 Practice locations: Lyons, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wayne County Dept of Aging and Youth13 organizations share this tax ID, including this one
Part of
Wayne County Dept of Aging and Youth

Other organizations with this tax ID 12

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wayne County Nursing HomeLyons, NY, CCN 335406 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 May 14, 2005
May 14, 2005
May 14, 2005
May 14, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Wayne

    dba Wayne County Nursing Home

    • Skilled Nursing Facility
    • Lyons, NY
    • NPI 1568534717

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1760576763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 NYE RD STE 200",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899112",
            "telephone_number": "315-946-5749",
            "fax_number": "315-946-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 NYE RD",
            "address_2": "SUITE 200",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899133",
            "telephone_number": "315-946-5749",
            "fax_number": "315-946-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAYNE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF WAYNE",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-946-5749",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "5823200R",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "5823200R",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "5823200R",
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NY",
            "license": "5823200R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355413",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001907",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne County Public Health Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lyons, NY

Sources for this page

Verify at the official NPI Registry.