Western New York Independent Living, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WESTERN NEW YORK INDEPENDENT LIVING, INC.

Practice address

3108 Main St
Buffalo, NY 14214-1362

Phone

(716) 836-0822

NPI assigned

Aug 29, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WESTERN NEW YORK INDEPENDENT LIVING, INC.As reported in NPPES

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

Authorized official

Name

Douglas J Usiak

Title

Ceo

Phone

(716) 836-0822

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Western New York Independent Living Inc2 organizations share this tax ID, including this one

Part of

Western New York Independent Living Inc

Other organizations with this tax ID 1

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

• Western New York Independent Living, Inc.

  dba Independent Living of Niagara County

  • Case Management Agency
  • Buffalo, NY
  • NPI 1427267806
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Western New York Independent Living, Inc.

  dba Independent Living of Niagara County

  • Case Management Agency
  • Buffalo, NY
  • NPI 1427267806
  NPPES parent name

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1871212290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141362",
            "telephone_number": "716-836-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141362",
            "telephone_number": "716-836-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK INDEPENDENT LIVING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN NEW YORK INDEPENDENT LIVING, INC.",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "USIAK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-836-0822"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02005934",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06275736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western New York Dental Group,PC
• Western New York Dental Group,PC
• Western New York Diagnostics LLC
• Western New York Hospitalist Group PC
• Western New York Independent Living, Inc. (Independent Living of Niagara County)
• Western New York Integrated Care Collaborative
• Western New York Integrated Care Collaborative, Inc.
• Western New York Integrated Care Collaborative, Inc.
• Western New York Integrated Care Collaborative, Inc.
• Western New York Meidtrans LLC,

• Community/Behavioral Health Agency in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.