NPIMap

Organization Active NPI

Berkshire Farm Center and Services for Youth

  • Case Management Agency
  • Rochester, NY
National Provider Identifier
1851430813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0501010545 Issued in NY
Legal business name
BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH
Practice address
1059 Silbey Tower Building
Medicaid Service Coordination Program
Rochester, NY 14604
Phone
(585) 454-1620
Fax
(585) 454-6814
NPI assigned
Feb 6, 2007
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
Mr. John Cox
Title
Chief Financial Officer
Phone
(518) 781-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0501010545 NY Primary

Addresses

Primary practice location

1059 Silbey Tower Building
Medicaid Service Coordination Program
Rochester, NY 14604

Mailing address

1059 Silbey Tower Building
Medicaid Service Coordination Program
Rochester, NY 14604
Phone (585) 454-1620

Other identifiers 1

IdentifierTypeStateIssuer
02388058MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Farm Center Services for Youth8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851430813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 SILBEY TOWER BUILDING",
            "address_2": "MEDICAID SERVICE COORDINATION PROGRAM",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14604",
            "telephone_number": "585-454-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 SILBEY TOWER BUILDING",
            "address_2": "MEDICAID SERVICE COORDINATION PROGRAM",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14604",
            "telephone_number": "585-454-1620",
            "fax_number": "585-454-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-781-4567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "0501010545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02388058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, 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.