BAKER VICTORY SERVICES (NPI# 1114138286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114138286 |
| Entity Type | Organization |
| Organization Name | BAKER VICTORY SERVICES |
| Practice Address |
150 Martin Road Lackawanna NY 14218 |
| Mailing Address |
780 Ridge Road Lackawanna NY 14218 |
| Practice Telephone | 7168289751 |
| Mailing Telephone | 7168289751 |
| Mailing Fax Number | 7168289450 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | MS. TERESE M SCOFIDIO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7168289515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | RID1515VID00A001 | NY | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | RID2794VID00A970 | NY | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | RID1514VID00A001 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00465834 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1083867204 | Baker Victory Services | Community Based Residential Treatment Facility, Mental Illness | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-10-31 |
| 1205047370 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BAKER VICTORY SERVICES | 790 Ridge Rd, Buffalo, NY 14218-1629 |
| Street Address |
150 MARTIN ROAD |
| City | LACKAWANNA |
| State | NY |
| Zip Code | 14218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1205047370 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419765 | Jennifer Lynn Cuneo | Nurse Practitioner | 20 Maryknoll Dr, Lackawanna, NY 14218 | 2017-07-12 |
| 1144579251 | Jennifer Jalil-contreras | Social Worker | 33 Wilkesbarre Avenue, Lackawanna, NY 14218 | 2012-09-05 |
| 1578833323 | Buffalo Synapse Support, LLC | Specialist/Technologist, Other | 609 Ridge Road, Lackawanna, NY 14218 | 2012-01-11 |
| 1851546097 | Rania Karam-bayoumi | Family Medicine | 227 Ridge Road, Lackawanna, NY 14218 | 2008-12-01 |
| 1548427552 | Jennifer Anne Molea | Specialist | 1025 Ridge Road, Lackawanna, NY 14218 | 2008-05-19 |
| 1649481904 | Richard Edwin Zambron | Dentist | 1243 Ridge Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
| 1730210238 | Brandi Arcara | Counselor | 2600 South Park Avenue, Parkview Center, Lackawanna, NY 14218 | 2007-03-08 |
| 1184760464 | Chauncey Young | Counselor | Lackawanna Counseling Daasp, 2600 South Park Avenue, Lackawanna, NY 14218 | 2007-01-30 |
| Find all providers in zip 14218 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1205047370 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136626 | Savitri Singh, Md P.C. | Nursing Facility/Intermediate Care Facility | 479 Deer Park Ave, Babylon, NY 11702-1922 | 2019-04-16 |
| 1962964841 | Sapphire Hc, LLC | Nursing Facility/Intermediate Care Facility | 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2516 | 2019-04-01 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1861944167 | Sabine Valme | Nursing Facility/Intermediate Care Facility | 929 E 87th St, Brooklyn, NY 11236-3908 | 2016-11-03 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| 1164885166 | Independent Group Home Living Program Inc | Nursing Facility/Intermediate Care Facility | 908 Melville Estates, Melville, NY 11747 | 2016-03-29 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1417338005 | Hotel Benefit Funds | Nursing Facility/Intermediate Care Facility | 625 Main St Apt 1432, New York, NY 10044-0036 | 2015-06-09 |
| Find all providers with the same taxonomy | ||||
| City | LACKAWANNA |
| Zip Code | 14218 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.