County of Sullivan

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COUNTY OF SULLIVAN

Practice address

50 Community LN
Liberty, NY 12754-2851

Phone

(845) 292-5910

Fax

(845) 513-2276

NPI assigned

Aug 2, 2005

Last updated

Jul 8, 2024By 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

Ms. Jill Hubert-Simon, MS

Title

Deputy Director

Phone

(845) 292-5910

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sullivan County Public Health Services Other name

Locations

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1922009919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMUNITY LN",
            "address_2": "PO BOX 590",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542851",
            "telephone_number": "845-292-5910",
            "fax_number": "845-513-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COMMUNITY LN",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542851",
            "telephone_number": "845-292-5910",
            "fax_number": "845-513-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "HUBERT-SIMON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "845-292-5910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00966770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan County Public Health Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sullivan County Public Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edgar Correa, CASAC-T
• County of Sullivan (Sullivan County Department of Community Services)
• County of Sullivan (Sullivan County Adult Care Center)
• County of Sullivan (Sullivan County Public Health Services)
• County of Sullivan (Sullivan County Adult Care Center)
• Cheryl Margaret Crawford, R.N.
• Salvatore Crescitelli, LPN
• Kaitlyn Anne Cronin, LPN
• Nicole E Cucura, LMSW
• Robert M Czern, PHARMACIST

• Home Health Agency in Liberty, NY
• Providers in Liberty, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.