STATE OF NEW YORK (NPI# 1174852909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174852909 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW YORK |
| Other Organization Name | CEDAR LANE ICF |
| Practice Address |
50 Cedar Lane Wassaic NY 12592 |
| Mailing Address |
44 Holland Avenue Albany NY 12229-0001 |
| Practice Telephone | 5184024333 |
| Mailing Telephone | 5184024333 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |
| Authorized Official Name | KARLA J SMITH (DIRECTOR OF CENTRAL OPERATIONS) |
| Authorized Official Telephone | 5184024333 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 0275787 | NY | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cedar Lane ICF | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1053713883 | State of New York | Pharmacy | Cook St, Dannemora, NY 12929 | 2014-09-24 |
| 1336493014 | State of New York | Pharmacy | 201 Kapoor Hall, Buffalo, NY 14214-8033 | 2012-11-02 |
| 1487906368 | State of New York | Intermediate Care Facility, Mentally Retarded | 22 Sinpatch Rd, Wassaic, NY 12592-2432 | 2012-10-03 |
| 1972883171 | State of New York | Intermediate Care Facility, Mentally Retarded | 648 Leydecker Rd, West Seneca, NY 14224-3755 | 2011-08-19 |
| 1851671044 | State of New York | Intermediate Care Facility, Mentally Retarded | 650 Leydecker Road, West Seneca, NY 14224-3755 | 2011-08-19 |
| 1093093031 | State of New York | Intermediate Care Facility, Mentally Retarded | 526 Leydecker Rd, West Seneca, NY 14224-3731 | 2011-07-25 |
| 1871890590 | State of New York | Intermediate Care Facility, Mentally Retarded | 18 Sinpatch Rd, Wassaic, NY 12592-2432 | 2011-02-15 |
| 1598909996 | State of New York | Intermediate Care Facility, Mental Illness | 55 Sinpatch Rd, Wassaic, NY 12592-2410 | 2009-04-29 |
| 1013192079 | State of New York | Public Health or Welfare | Corning Tower 14th Floor Nys Ohip, Empire State Plaza, Albany, NY 12237-0044 | 2008-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | STATE OF NEW YORK INCORPORATED | 1215 Laurel Lane, Beverly Hills, California 90210 |
| New York State Corporations | STATE OF NEW YORK POLICE AND FIRE RETIREES ASSOCIATION OF BROOME COUNTY, INC. | P.o. Box 504, Johnson City, Ny 13790 |
| Street Address |
50 CEDAR LANE |
| City | WASSAIC |
| State | NY |
| Zip Code | 12592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124216981 | Jennifer Prater | Social Worker | 3620 Route 22, Wassaic, NY 12592 | 2007-10-05 |
| 1023159563 | State of New York | Intermediate Care Facility, Mentally Retarded | 70 Sinpatch Rd, Wassaic, NY 12592 | 2007-02-09 |
| 1609916659 | State of New York | Intermediate Care Facility, Mentally Retarded | 67 Sinpatch Rd, Wassaic, NY 12592 | 2007-02-07 |
| 1376683854 | State of New York | Intermediate Care Facility, Mentally Retarded | Route 22, Wassaic, NY 12592 | 2007-02-07 |
| 1285956409 | Robin Ann Epstein | Social Worker | 3620 Route 22, Wassaic, NY 12592-2323 | 2010-02-16 |
| 1811154453 | Syma Cuttler | Counselor | 3620 Route 22, Wassaic, NY 12592-2323 | 2008-05-21 |
| 1891974457 | Astor Counseling Services | Community/Behavioral Health | 3620 Route 22, Wassaic, NY 12592-2323 | 2007-10-31 |
| 1871871020 | New York State | Intermediate Care Facility, Mentally Retarded | 51 Sinpatch Rd, Wassaic, NY 12592-2410 | 2011-07-21 |
| 1598909996 | State of New York | Intermediate Care Facility, Mental Illness | 55 Sinpatch Rd, Wassaic, NY 12592-2410 | 2009-04-29 |
| 1487906368 | State of New York | Intermediate Care Facility, Mentally Retarded | 22 Sinpatch Rd, Wassaic, NY 12592-2432 | 2012-10-03 |
| Find all providers in zip 12592 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487906368 | State of New York | Intermediate Care Facility, Mentally Retarded | 22 Sinpatch Rd, Wassaic, NY 12592-2432 | 2012-10-03 |
| 1871871020 | New York State | Intermediate Care Facility, Mentally Retarded | 51 Sinpatch Rd, Wassaic, NY 12592-2410 | 2011-07-21 |
| 1871890590 | State of New York | Intermediate Care Facility, Mentally Retarded | 18 Sinpatch Rd, Wassaic, NY 12592-2432 | 2011-02-15 |
| 1023159563 | State of New York | Intermediate Care Facility, Mentally Retarded | 70 Sinpatch Rd, Wassaic, NY 12592 | 2007-02-09 |
| 1609916659 | State of New York | Intermediate Care Facility, Mentally Retarded | 67 Sinpatch Rd, Wassaic, NY 12592 | 2007-02-07 |
| 1376683854 | State of New York | Intermediate Care Facility, Mentally Retarded | Route 22, Wassaic, NY 12592 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762665 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 260 W 8th St, Elmira Heights, NY 14903-1502 | 2020-05-21 |
| 1518580851 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 525 Liberty St, Elmira, NY 14904-1517 | 2020-05-21 |
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1538666052 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 95 Seymour Lane, Westmoreland, NY 13490 | 2018-04-11 |
| 1457857716 | Nysarc, Inc. Cattaraugus-niagara County Chapter | Intermediate Care Facility, Mentally Retarded | 6821 Saunders Settlement Rd, Sanborn, NY 14132-9440 | 2018-04-04 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1962959403 | Linda Burgess | Intermediate Care Facility, Mentally Retarded | 35 E 8th Ave, Gloversville, NY 12078-2229 | 2016-09-01 |
| 1154774727 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 525 W 149th St, New York, NY 10031-3402 | 2016-07-19 |
| Find all providers with the same taxonomy | ||||
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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.