Organization Active NPI

Cazenovia Recovery Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Buffalo, NY
National Provider Identifier
1902286149
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
923 Sycamore St
Buffalo, NY 14212-1339
Phone
(716) 893-8598
Fax
(716) 332-9365
NPI assigned
Jun 3, 2015
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

923 Sycamore St
Buffalo, NY 14212-1339

Mailing address

2495 Main St Ste 417
Buffalo, NY 14214-2152
Phone (716) 852-4331

Other identifiers 2

IdentifierTypeStateIssuer
04988730MedicaidNY
220912122OtherNYNY OASAS

Other names 1

  • Unity House 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.

Locations

923 Sycamore St
Buffalo, NY 14212
Phone (716) 893-8598

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1902286149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST STE 417",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-852-4331",
            "fax_number": "716-852-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 SYCAMORE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121339",
            "telephone_number": "716-893-8598",
            "fax_number": "716-332-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZENOVIA RECOVERY SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "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": "04988730",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY OASAS",
            "identifier": "220912122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Unity House",
            "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.