Organization Active NPI

Planned Community Living, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Altamont, NY
National Provider Identifier
1871789644
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PLANNED COMMUNITY LIVING, INC
Practice address
5172 Western Tpke
Altamont, NY 12009-3810
Phone
(518) 579-4262
NPI assigned
Sep 14, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Mrs. Janice A Behuniak
Title
Finance Manager
Phone
(518) 579-4262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

5172 Western Tpke
Altamont, NY 12009-3810

Mailing address

5172 Western Tpke
Altamont, NY 12009-3810
Phone (518) 579-4262

Other identifiers 1

IdentifierTypeStateIssuer
01304558MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1871789644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 WESTERN TPKE",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120093810",
            "telephone_number": "518-579-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 WESTERN TPKE",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120093810",
            "telephone_number": "518-579-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED COMMUNITY LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "BEHUNIAK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "518-579-4262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.