1023054376 NPI number — CASA-TRINITY, INC.

Table of content: (NPI 1023054376)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023054376 NPI number — CASA-TRINITY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CASA-TRINITY, INC.
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:
COUNCIL ON ALCOHOL & SUBSTANCE ABUSE OF LIVINGSTON COUNTY
Provider Other Organization Name Type Code:
4
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:
1023054376
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4612 MILLENNIUM DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GENESEO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14454-1418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-443-2018
Provider Business Mailing Address Fax Number:
585-991-5013

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4612 MILLENNIUM DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GENESEO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14454-1418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-443-2018
Provider Business Practice Location Address Fax Number:
585-991-5013
Provider Enumeration Date:
06/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ORME
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
Authorized Official Title or Position:
CONTRACTING AND CREDENTIALING
Authorized Official Telephone Number:
607-302-0442

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM2800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00689689 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103083743 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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