Active NPI
Living Opportunities of Depaul
- Mental Illness Community Based Residential Treatment Facility
- Rochester, NY
National Provider Identifier
1861564221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- LIVING OPPORTUNITIES OF DEPAUL
- Practice address
- 1931 Buffalo Rd
Rochester, NY 14624-1535 - Phone
- (585) 426-8000
- NPI assigned
- Nov 14, 2006
- 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. James M Whalen
- Title
- C.F.O.
- Phone
- (585) 426-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
1931 Buffalo Rd
Rochester, NY 14624-1535
Mailing address
2240 Old Union Road
Cheektowaga, NY 14227
Phone (716) 608-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01303819 | Medicaid | NY | |
| 02147193 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1861564221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 OLD UNION ROAD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "14227",
"telephone_number": "716-608-1000",
"fax_number": "716-608-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 BUFFALO RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146241535",
"telephone_number": "585-426-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING OPPORTUNITIES OF DEPAUL",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "WHALEN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "C.F.O.",
"authorized_official_telephone_number": "585-426-8000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01303819",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02147193",
"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 Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.