M.C. Provisions for Human Services, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

M.C. PROVISIONS FOR HUMAN SERVICES, INC.

Practice address

10920 34TH Ave
Corona, NY 11368-1332

Phone

(516) 445-4755

Fax

(718) 481-9396

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charesse White

Title

Chief Executive Officer

Phone

(516) 445-4755

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1790126456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 34TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681332",
            "telephone_number": "516-445-4755",
            "fax_number": "718-481-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 34TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681332",
            "telephone_number": "516-445-4755",
            "fax_number": "718-481-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.C. PROVISIONS FOR HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARESSE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "516-445-4755",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Corona, NY
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• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.