Active NPI
Yates County Chapter Nysarc, Inc
- Case Management Agency
- Penn Yan, NY
National Provider Identifier
1972157469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- YATES COUNTY CHAPTER NYSARC, INC
- Practice address
- 235 North Ave
Penn Yan, NY 14527-1051 - Phone
- (315) 536-7447
- Fax
- (315) 536-3281
- NPI assigned
- Aug 1, 2019
- 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
- Mrs. Julie Ribble
- Title
- Revenue Accountant
- Phone
- (315) 536-7447
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
235 North Ave
Penn Yan, NY 14527-1051
Mailing address
235 North Ave
Penn Yan, NY 14527-1051
Phone (315) 536-7447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336593920 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Yates County Chapter Nysarc Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Penn Yan, NY
- NPI 1487809968
-
- Early Intervention Provider Agency
- Penn Yan, NY
- NPI 1740527159
Locations
235 North Ave
Penn Yan, NY 14527
Phone (315) 536-7447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564617600000",
"number": "1972157469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 NORTH AVE",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271051",
"telephone_number": "315-536-7447",
"fax_number": "315-536-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 NORTH AVE",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271051",
"telephone_number": "315-536-7447",
"fax_number": "315-536-3281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YATES COUNTY CHAPTER NYSARC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A",
"authorized_official_last_name": "RIBBLE",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "REVENUE ACCOUNTANT",
"authorized_official_telephone_number": "315-536-7447",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336593920",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.