Active NPI
Health Services of Northern New York
- Home Health Agency
- Potsdam, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEALTH SERVICES OF NORTHERN NEW YORK
- Practice address
- 56 Market St
Potsdam, NY 13676-1747 - Phone
- (315) 265-4065
- Fax
- (315) 265-0012
- NPI assigned
- Sep 15, 2006
- Last updated
- May 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew O'Bryan
- Title
- Administrator
- Phone
- (315) 265-4065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
56 Market St
Potsdam, NY 13676-1747
Mailing address
56 Market St
Potsdam, NY 13676-1747
Phone (315) 265-4065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061117000462 | NY | Part A Provider - Home Health Agency | 0941208391 | Practice locations: Potsdam, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952407033. Details of each certification follow.
Home health agency certification: CCN 337256
- Legal name
- HEALTH SERVICES OF NORTHERN NEW YORK, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 28, 1988
- Last certification
- Mar 13, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 23, 1985 in NY
- Enrollment address
- 56 Market St
Potsdam, NY 13676-1747
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Health Services of Northern New York Inc Chha
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 28, 1988
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
56 Market St
Potsdam, NY 13676
Phone (315) 265-4065
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel M Hamister | Corporate Director | Dec 7, 2011 | |
| Mark Hamister | 5% Or Greater Direct Ownership Interest | Nov 30, 1993 | 99.9% |
| Matthew Obryan | W-2 Managing Employee | Mar 20, 2012 |
Practitioners & affiliated clinicians
Practitioners 108
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.
-
- Licensed Practical Nurse
- Potsdam, NY
- NPI 1093086712
-
- Licensed Practical Nurse
- Potsdam, NY
- NPI 1104178920
-
- Psychiatric/Mental Health Nurse Practitioner
- Ogdensburg, NY
- NPI 1801188560
-
- Licensed Practical Nurse
- Potsdam, NY
- NPI 1457664328
-
- Family Nurse Practitioner
- Canton, NY
- NPI 1760897250
-
- Licensed Practical Nurse
- Potsdam, NY
- NPI 1427357813
-
- Licensed Practical Nurse
- Potsdam, NY
- NPI 1669912861
-
- Registered Nurse
- Potsdam, NY
- NPI 1073886305
-
- Licensed Practical Nurse
- Potsdam, NY
- NPI 1457594202
-
- Registered Nurse
- Potsdam, NY
- NPI 1356783054
-
- Registered Nurse
- Potsdam, NY
- NPI 1134511298
-
- Registered Nurse
- Potsdam, NY
- NPI 1427330745
Affiliated clinicians 46
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Massena, NY
- NPI 1578578977
Home health agency
-
- Family Nurse Practitioner
- De Kalb Junction, NY
- NPI 1538338140
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1952407033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 MARKET ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761747",
"telephone_number": "315-265-4065",
"fax_number": "315-265-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 MARKET ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761747",
"telephone_number": "315-265-4065",
"fax_number": "315-265-0012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH SERVICES OF NORTHERN NEW YORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "O'BRYAN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "315-265-4065",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potsdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.