Active NPI
Shannon Green RCM Management
- In Home Supportive Care Agency
- Utica, NY
National Provider Identifier
1861249963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SHANNON GREEN RCM MANAGEMENT
- Practice address
- 1216 Gray Ave
Utica, NY 13502 - Phone
- (315) 542-4209
- NPI assigned
- May 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shannon Green, HHA
- Title
- Suporvisor /Provider
- Phone
- (315) 542-4209
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1216 Gray Ave
Utica, NY 13502
Mailing address
1216 Gray Ave Apt 2F
Utica, NY 13502-3967
Phone (315) 542-4209
Other names 2
- shannon green rcm management
- upstate pca institute
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | greenrcmmanagement@aol.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Utica, NY
- NPI 1073256616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1861249963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 GRAY AVE APT 2F",
"city": "UTICA",
"state": "NY",
"postal_code": "135023967",
"telephone_number": "315-542-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 GRAY AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "13502",
"telephone_number": "315-542-4209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNON GREEN RCM MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "SUPORVISOR /PROVIDER",
"authorized_official_telephone_number": "315-542-4209",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "HHA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "greenrcmmanagement@aol.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "text",
"address_1": "1216 Gray Ave Apt 2F",
"city": "Utica",
"state": "NY",
"country_code": "US",
"postal_code": "135023967",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "shannon green rcm management",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "shannon green rcm management",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "upstate pca institute",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.