CASA-TRINITY, INC. (NPI# 1023054376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023054376 |
Entity Type | Organization |
Organization Name | CASA-TRINITY, INC. |
Other Organization Name | COUNCIL ON ALCOHOL & SUBSTANCE ABUSE OF LIVINGSTON COUNTY |
Practice Address |
4612 Millennium Drive Geneseo NY 14454-1418 |
Practice Telephone | 5859915012 |
Practice Fax Number | 5859915013 |
Mailing Telephone | 5859915012 |
Mailing Fax Number | 5859915013 |
Enumeration Date | 2006-06-22 |
Last Update Date | 2019-10-09 |
Authorized Official Name | JENNIFER CAMPBELL (BILLING TEAM LEAD) |
Authorized Official Telephone | 6077375215 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00689689 | 05 |
Other Name | Type Code |
---|---|
Council on Alcohol & Substance Abuse of Livingston County | Former Legal Business Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
150 Lake St Ste 2, Elmira, NY 149013401 | 6077375215 | 6077375219 |
100 Henry St, Sayre, PA 188402909 | 5707314534 | 5707314544 |
141-143 Main Street, Dansville, NY 14437 | 5853355052 | 5853355061 |
411 Canisteo St, Hornell, NY 148432104 | 6072825200 | 6073240780 |
86 River St, Hornell, NY 148432265 | 6072825201 | 6073241268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902459373 | Casa-trinity, Inc. | Counselor | 612 Main St, Towanda, PA 18848-1614 | 2019-07-24 |
1184281388 | Casa-trinity, Inc. | Case Management | 4612 Millennium Dr, Geneseo, NY 14454-1197 | 2019-05-22 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | CASA-TRINITY, INC. | 4612 Millennium Drive, Geneseo, Ny 14454 |
Street Address |
4612 MILLENNIUM DRIVE |
City | GENESEO |
State | NY |
Zip Code | 14454-1418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649446816 | Michael Hellman | Case Manager/Care Coordinator | 4612 Millennium Drive, Geneseo, NY 14454-1418 | 2008-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215206537 | Mary Elizabeth Kruppner | Registered Nurse | 4050 Avon Road, Geneseo, NY 14454 | 2011-12-15 |
1639305089 | Genesis Internal Medicine Pllc | Internal Medicine | 50 E South St., Suite 600, Geneseo, NY 14454 | 2009-05-29 |
1912175621 | Nicholas H. Noyes Memorial Hospital | Clinic/Center | 4616 Milllenium Dr, Geneseo, NY 14454 | 2008-02-15 |
1770705188 | Vista Behavioral Health Medicine Pllc | Psychiatry & Neurology | 4245 Lakeville Rd, Suite 4a, Geneseo, NY 14454 | 2007-05-03 |
1396967931 | Keith William Koch | Dentist | 4376 Lakeville Rd., Geneseo, NY 14454 | 2007-05-03 |
1639202542 | Pat A Terhaar | Nurse Practitioner | After Hours Care Center-livingston Health Services, 50 East South St., Geneseo, NY 14454 | 2007-03-13 |
1306993761 | Karla L. Mulligan | General Practice | 295 Mary Jemison Drive, Opwdd - Finger Lakes Office, Geneseo, NY 14454 | 2007-01-05 |
1902989338 | Heather A Dailor | Registered Nurse | 1 College Circle, Lauderdale Center for Health and Counseling, Geneseo, NY 14454 | 2006-10-21 |
1447331582 | Peter H. Cormack | Psychologist | Peter H. Cormack 4828 Lakeville Road, Geneseo, NY 14454 | 2006-10-17 |
1235227497 | Lauren Suzanne Rosella | Dentist | 3 Park Street, Doty Dental, Geneseo, NY 14454 | 2006-10-11 |
Find all providers in zip 14454 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
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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.