NPIMap

Organization Active NPI

Cazenovia Recovery Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Buffalo, NY
National Provider Identifier
1881003192
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CAZENOVIA RECOVERY SYSTEMS, INC.
Practice address
486 N Legion Dr
Buffalo, NY 14210-2341
Phone
(716) 822-8932
Fax
(716) 828-0804
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Lindsay Herndon
Title
Ceo
Phone
(716) 314-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

486 N Legion Dr
Buffalo, NY 14210-2341

Mailing address

2495 Main St
Buffalo, NY 14214-2152
Phone (716) 822-8932

Other identifiers 3

IdentifierTypeStateIssuer
04591122MedicaidNY
260112050OtherNYNY OASAS
03A2292OtherNYNYS DOH NUMBER

Other names 1

  • Cazenovia Manor Other name

National Provider Directory

National Provider Directory
Tax ID family
Cazenovia Recovery Systems Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1881003192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-822-8932",
            "fax_number": "716-828-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 N LEGION DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102341",
            "telephone_number": "716-822-8932",
            "fax_number": "716-828-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZENOVIA RECOVERY SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-314-5903"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04591122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY OASAS",
            "identifier": "260112050",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DOH NUMBER",
            "identifier": "03A2292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cazenovia Manor",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cazenovia Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.