BAKER HALL (NPI# 1285844084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285844084 |
| Entity Type | Organization |
| Organization Name | BAKER HALL |
| Practice Address |
790 Ridge Rd Lackawanna NY 14218-1629 |
| Mailing Address |
780 Ridge Road Lackawanna NY 14218 |
| Practice Telephone | 7168289699 |
| Mailing Telephone | 7168289751 |
| Mailing Fax Number | 7168289450 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | SHEILA HUNT (CHIEF MANAGED CARE OFFICER) |
| Authorized Official Telephone | 7168289699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76000440 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00860417 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700013927 | Baker Hall | Early Intervention Provider Agency | 51 St. Johns Parkside, Buffalo, NY 14210-2515 | 2009-06-15 |
| 1023229192 | Baker Hall | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 170 Martin Road, Lackawanna, NY 14218-2708 | 2007-05-24 |
| 1588875652 | Baker Hall | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 188 Martin Road, Lackawanna, NY 14218-2708 | 2007-05-24 |
| 1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
| 1669695391 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BAKER HALL | 150 Martin Rd., Lackawanna, Ny 14218 |
| Street Address |
790 RIDGE RD |
| City | LACKAWANNA |
| State | NY |
| Zip Code | 14218-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669539029 | Daniel Mangold | Psychiatry & Neurology | 790 Ridge Rd, Baker Victory Services, D. Mangold, M.d., Lackawanna, NY 14218-1629 | 2007-01-03 |
| 1881203669 | Dawn Gayadeen | Counselor | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2020-07-28 |
| 1518514678 | Dawn Marie Luniewski | Occupational Therapist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2019-08-23 |
| 1760959407 | Jordan Toles | Peer Specialist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-10-31 |
| 1427533975 | Bianca Scott-malone | Case Manager/Care Coordinator | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-10-01 |
| 1932684016 | Karen Dwyer | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-25 |
| 1487138830 | Kevin Chapman Chapman | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-21 |
| 1790269652 | Taryn Wilde | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
| 1740764695 | Bryan Buchanan | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
| 1346724291 | Marium Ashraf | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419765 | Jennifer Lynn Cuneo | Nurse Practitioner | 20 Maryknoll Dr, Lackawanna, NY 14218 | 2017-07-12 |
| 1144579251 | Jennifer Jalil-contreras | Social Worker | 33 Wilkesbarre Avenue, Lackawanna, NY 14218 | 2012-09-05 |
| 1578833323 | Buffalo Synapse Support, LLC | Specialist/Technologist, Other | 609 Ridge Road, Lackawanna, NY 14218 | 2012-01-11 |
| 1851546097 | Rania Karam-bayoumi | Family Medicine | 227 Ridge Road, Lackawanna, NY 14218 | 2008-12-01 |
| 1548427552 | Jennifer Anne Molea | Specialist | 1025 Ridge Road, Lackawanna, NY 14218 | 2008-05-19 |
| 1649481904 | Richard Edwin Zambron | Dentist | 1243 Ridge Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
| 1730210238 | Brandi Arcara | Counselor | 2600 South Park Avenue, Parkview Center, Lackawanna, NY 14218 | 2007-03-08 |
| Find all providers in zip 14218 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023229192 | Baker Hall | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 170 Martin Road, Lackawanna, NY 14218-2708 | 2007-05-24 |
| 1588875652 | Baker Hall | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 188 Martin Road, Lackawanna, NY 14218-2708 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1366914772 | Michelle Thomas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2713 Colonial Dr, New Windsor, NY 12553-4925 | 2018-12-24 |
| 1730659327 | Nathalie Lawrence Ot P C | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 566 Macon Pl, Uniondale, NY 11553-2829 | 2018-11-27 |
| 1598249831 | Annie Hwang Pt P.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Teneyck Ave, Valley Stream, NY 11580-4016 | 2018-09-22 |
| 1801396841 | Tlc Kids Therapy, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3270 Mark Alan Dr, Wantagh, NY 11793-1841 | 2018-02-16 |
| 1760929715 | Sheltering Arms Children and Family Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2749 University Ave, Apt 3, Bronx, NY 10468-3302 | 2017-01-30 |
| 1417499385 | J. Gudis Speech and Language | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 E 31st St Apt 5d, New York, NY 10016-6828 | 2016-11-09 |
| 1356700488 | Cnyddso | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 Schuyler St, Rome, NY 13440-2825 | 2016-02-17 |
| 1134592470 | Beacon Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 54 Henry Ave, Babylon, NY 11702-1327 | 2015-11-09 |
| 1558733568 | Task Recovery Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2716 Avenue Y, Brooklyn, NY 11235-2008 | 2015-10-29 |
| Find all providers with the same taxonomy | ||||
| City | LACKAWANNA |
| Zip Code | 14218 |
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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.