Can/Am Youth Services, Inc.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

CAN/AM YOUTH SERVICES, INC.

Doing business as

Rose Hill

Practice address

100 County Route 43
Massena, NY 13662-4104

Phone

(315) 764-9700

Fax

(315) 764-0005

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Lee Sienkiewycz

Title

Billing

Phone

(315) 764-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ROSE HILL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Anne Marie Decarlo, LPN, AEMT-P

  • Registered Nurse
  • Massena, NY
  • NPI 1881391639
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891896767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROUTE 43",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "13662",
            "telephone_number": "315-764-9700",
            "fax_number": "315-764-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROUTE 43",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136624104",
            "telephone_number": "315-764-9700",
            "fax_number": "315-764-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAN/AM YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIENKIEWYCZ",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "315-764-9700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01178385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSE HILL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Burley
• John Stephen Burnett, M.D.
• Max Tyler Buscaglia
• Byung S. Lim , MD, PC
• Gina Caldwell, MSED
• Luis Ivan Canales, M.D.
• Michael Andrew Casares, M.D.
• Cassandra Marie Casey I, CASAC-II
• Megan Eileen Casey
• Patrick M. Casey, RPH

• Children's Substance Abuse Rehabilitation Facility in Massena, NY
• Providers in Massena, NY by specialty
• Children's Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.