Organization Active NPI

Stacey Frederick Compassionate Care

  • Home Health Agency
  • Saugerties, NY
National Provider Identifier
1992165567
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
266189-1 Issued in NY
Legal business name
STACEY FREDERICK COMPASSIONATE CARE
Doing business as
STACEY FREDERICK
Practice address
20 Red Maple Rd
Saugerties, NY 12477-9326
Phone
(845) 797-9213
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Miss Stacey L Frederick
Title
LPN
Phone
(845) 797-9213

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 266189-1 NY Primary
Community/Behavioral Health Agency 251S00000X 266189-1 NY
Early Intervention Provider Agency 252Y00000X 266189-1 NY
Ambulatory Surgical Clinic/Center 261QA1903X 266189-1 NY
Psychiatric Hospital Unit 273R00000X 266189-1 NY
Preferred Provider Organization 305R00000X 266189-1 NY
Point of Service 305S00000X 266189-1 NY
Custodial Care Facility 311Z00000X 266189-1 NY
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 266189-1 NY
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 266189-1 NY

Addresses

Primary practice location

20 Red Maple Rd
Saugerties, NY 12477-9326

Mailing address

20 Red Maple Rd
Saugerties, NY 12477-9326
Phone (845) 797-9213

Other names 1

  • STACEY FREDERICK Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1992165567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RED MAPLE RD",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124779326",
            "telephone_number": "845-797-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RED MAPLE RD",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124779326",
            "telephone_number": "845-797-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY FREDERICK COMPASSIONATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "845-797-9213",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "266189-1",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NY",
            "license": "266189-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STACEY FREDERICK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saugerties, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.