NPIMap

Organization Active NPI

Community, Work, and Independence, Inc.

  • Community/Behavioral Health Agency
  • Glens Falls, NY
National Provider Identifier
1770837460
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY, WORK, AND INDEPENDENCE, INC.
Practice address
37 Everts Ave
Glens Falls, NY 12804-2040
Phone
(518) 793-4700
Fax
(518) 745-1413
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Mr. Mark A Donahue
Title
Chief Executive Officer
Phone
(518) 793-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

37 Everts Ave
Glens Falls, NY 12804-2040

Mailing address

PO Box 303
Glens Falls, NY 12801-0303
Phone (518) 793-4700

Other identifiers 1

IdentifierTypeStateIssuer
01793017MedicaidNY

Other names 1

  • Community Workshop, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Community Work and Independence Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1770837460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010303",
            "telephone_number": "518-793-4700",
            "fax_number": "518-745-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EVERTS AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128042040",
            "telephone_number": "518-793-4700",
            "fax_number": "518-745-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY, WORK, AND INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "518-793-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793017",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Workshop, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.