CROTCHED MOUNTAIN COMMUNITY SERVICES (NPI# 1356493894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356493894 |
| Entity Type | Organization |
| Organization Name | CROTCHED MOUNTAIN COMMUNITY SERVICES |
| Practice Address |
1873 Western Ave Albany NY 12203-5028 |
| Mailing Address |
1 Verney Dr Crotched Mountain Foundation Greenfield NH 03047-5000 |
| Practice Telephone | 5184521214 |
| Practice Fax Number | 5184523546 |
| Mailing Telephone | 6035473311 |
| Mailing Fax Number | 6035473232 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD SHUMWAY (PRESIDENT & CEO) |
| Authorized Official Telephone | 6035473311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | ========= | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01739380 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CROTCHED MOUNTAIN COMMUNITY SERVICES OF NEW YORK, INC. | 1 Verney Drive, Greenfield, Nh 03047 |
| Street Address |
1873 WESTERN AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215982079 | Jeffrey Perkins, M.d. | Family Medicine | 1873 Western Ave, Suite 101, Albany, NY 12203-5028 | 2006-05-23 |
| 1790223618 | Thomas Clemente | Dentist | 1873 Western Ave, Suite 200, Albany, NY 12203 | 2017-02-11 |
| 1306389598 | Kinkaid Family Chiropractic Pllc | Health Maintenance Organization | 1873 Western Ave, Suite 103, Albany, NY 12203-5028 | 2016-11-21 |
| 1306398425 | Jessica Marie Kinkaid | Chiropractor | 1873 Western Ave, Suite 103, Albany, NY 12203-5028 | 2016-10-25 |
| 1043674633 | Vijaya Sen Reddy Gaddam | Dentist | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2016-04-08 |
| 1518326776 | James Wu | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2016-02-16 |
| 1043679475 | Sneha Reddy Godi | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2016-02-12 |
| 1952769457 | Julien Remillard | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Albany, NY 12203-5028 | 2016-01-29 |
| 1841676087 | Justin Isaac Fox | Dentist | 1873 Western Ave, Albany, NY 12203-5028 | 2015-08-10 |
| 1326435553 | Danielle Shai | Dentist | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2015-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998953 | South Ga Family Care LLC | Home Health | 511 N Slappey Blvd Ste B, Albany, GA 31701-1458 | 2020-07-02 |
| 1912523663 | Coram Healthcare Corporation of Greater New York | Home Health | 20 Madison Avenue Ext Ste 5, Albany, NY 12203-5326 | 2020-06-18 |
| 1457976763 | Althenia Lemorris Brown | Home Health | 100 S Magnolia St Ste E1, Albany, GA 31707-4206 | 2020-06-11 |
| 1437778552 | Golden Hearts Home Care, LLC | Home Health | 1918 Elkhorn Ln Apt A, Albany, GA 31707-2156 | 2020-04-09 |
| 1881232015 | Visionary Home Care LLC | Home Health | 306 S Shadowlawn Dr, Albany, GA 31707-4243 | 2019-12-18 |
| 1316505704 | Tanya Michelle Jones | Home Health | 423 Cannon Cir, Albany, GA 31705-4071 | 2019-05-31 |
| 1083170997 | Shelby Daniel | Home Health | 2700 Quail Run Dr, Albany, GA 31721-8837 | 2019-02-15 |
| 1710475579 | Rbrc of Albany, LLC | Home Health | 1510 Central Ave Ste 330, Albany, NY 12205-5090 | 2018-04-27 |
| 1205348349 | Angels Nursing Service | Home Health | 1811 W Whitney Ave, Albany, GA 31707-4246 | 2017-10-30 |
| 1174042592 | Gervin Health Services LLC | Home Health | 2018 Lafayette Cir Apt B, Albany, GA 31707-3288 | 2017-09-18 |
| Find all providers in ALBANY | ||||
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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.