1710024120 NPI number — TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP.

Table of content: (NPI 1710024120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710024120 NPI number — TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710024120
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1654 W ONONDAGA ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYRACUSE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13204-3310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-424-1845
Provider Business Mailing Address Fax Number:
315-424-7567

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
733 EUCLID AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-2538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-424-1845
Provider Business Practice Location Address Fax Number:
315-424-7567
Provider Enumeration Date:
02/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
D'AMORE
Authorized Official First Name:
JUDITH
Authorized Official Middle Name:
A
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
315-424-1845

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 315P00000X , with the licence number: 8686440 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 315P00000X , with the licence number: 8686441 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320800000X , with the licence number: 8234430 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320900000X , with the licence number: 8686442 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320900000X , with the licence number: 8686443 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00853801 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02004891 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02702541 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01309879 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00555817 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00784721 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02353560 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01489830 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com