CHAUTAUQUA HOSPICE AND PALLIATIVE CARE (NPI# 1639255250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639255250 |
| Entity Type | Organization |
| Organization Name | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE |
| Practice Address |
20 West Fairmount Ave Lakewood NY 14750-1702 |
| Practice Telephone | 7163380033 |
| Practice Fax Number | 7163381575 |
| Mailing Telephone | 7163380033 |
| Mailing Fax Number | 7163381575 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | MRS. SHAUNA ANDERSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 7163380033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 0622501F | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNIVERA | 00011476301 | 01 | |
| BLUE CROSS | 561 | 01 | |
| NY | 01406284 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 20 West Fairmount Avenue, Lakewood, Ny 14750 |
| Street Address |
20 WEST FAIRMOUNT AVE |
| City | LAKEWOOD |
| State | NY |
| Zip Code | 14750-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699163147 | Craig Richards | Physician Assistant | 390 E Fairmount Ave, Lakewood, NY 14750 | 2015-01-07 |
| 1982849659 | Syed Ali Raza Shamsi | Psychiatry & Neurology | 305 E. Fairmont Avenue, Unit 7, Lakewood, NY 14750 | 2008-12-10 |
| 1942417977 | Stephen C Barresi | Physician Assistant | Chd Meridian Healthcare, Jep, 4720 Bakerst, Ext., Lakewood, NY 14750 | 2007-05-17 |
| 1295947117 | Harold Ronald Carlson | Dentist | 2 East Main Street, Suite 115, Falconer, NY 14750 | 2007-05-04 |
| 1194865907 | David William Todd | Dentist | 120 Southwestern Dr, Lakewood, NY 14750 | 2007-02-08 |
| 1730271248 | Lee Ryan Anderson | Dentist | 909 Hunt Road, Lakewood, NY 14750 | 2006-09-29 |
| 1962416362 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | Rt 394 Mall Blvd, Lakewood, NY 14750 | 2006-07-28 |
| 1518925437 | Israr A Abbasi | Psychiatry & Neurology | 305 E Fairmount Ave, Lakewood, NY 14750 | 2006-05-02 |
| 1992771190 | Robert Gibbon Jr. | Psychiatry & Neurology | 92 W. Summit St., Lakewood, NY 14750 | 2006-02-27 |
| 1295213684 | Allison Claire Munella | Physician Assistant | 305 E Fairmount Ave, Lakewood, NY 14750 | 2018-07-30 |
| Find all providers in zip 14750 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679015614 | Care At Home Denver LLC | Hospice Care, Community Based | 575 Union Blvd Ste 107, Lakewood, CO 80228-1240 | 2016-11-08 |
| 1427469113 | Abode Healthcare Colorado, Inc. | Hospice Care, Community Based | 445 Union Blvd Ste 223, Lakewood, CO 80228-1241 | 2014-05-15 |
| 1255540829 | Corissa Jordan-schweitz Gold | Hospice Care, Community Based | 1173 S Pierson Ct, Lakewood, CO 80232-4926 | 2007-05-21 |
| 1104977644 | Century Hospice Inc | Hospice Care, Community Based | 5220 Clark Ave Ste 325, Lakewood, CA 90712-2636 | 2007-01-12 |
| 1164538765 | Admiral Hospice Care, Inc. | Hospice Care, Community Based | 4010 Watson Plaza Dr., Suite 120, Lakewood, CA 90712-4000 | 2006-08-23 |
| 1548217011 | Gerinet Physician Services, Inc. | Hospice Care, Community Based | 4010 Watson Plaza Dr Ste 140, Lakewood, CA 90712-4047 | 2006-05-28 |
| 1275919029 | Abode Healthcare Colorado, Inc. | Hospice Care, Community Based | 445 Union Blvd Ste 223, Lakewood, CO 80228-1241 | 2015-08-04 |
| 1770962565 | Royalty Care Services LLC | Hospice Care, Community Based | 15644 Madison Ave, Ste 207, Lakewood, OH 44107-5622 | 2015-05-26 |
| 1215343330 | Summit Hospice, LLC | Hospice Care, Community Based | 141 Union Blvd, Suite 320, Lakewood, CO 80228-1814 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260617 | Braddock Pharmacy LLC | Hospice Care, Community Based | 236-01a Braddock Ave., Bellerose, NY 11426 | 2015-11-17 |
| 1033473848 | Pc Aide Plus, Inc. | Hospice Care, Community Based | 13893 Francis Lewis Blvd, Rosedale, NY 11422-1704 | 2012-06-26 |
| 1083890867 | Community Options Inc | Hospice Care, Community Based | 350 5th Ave Suite 1207, New York, NY 10118 | 2008-01-11 |
| 1750442513 | High Peaks Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 309 County Route 47 Ste 7, Saranac Lake, NY 12983 | 2006-12-13 |
| 1780766220 | Hospice of Orleans, Inc. | Hospice Care, Community Based | 14080 State Route 31, Albion, NY 14411-9301 | 2006-10-20 |
| 1013001197 | Hospice of New York, LLC | Hospice Care, Community Based | 4518 Court Sq Ste 500, Long Island City, NY 11101-4347 | 2006-10-03 |
| 1912098666 | The Caring Coalition of Central New York | Hospice Care, Community Based | 990 7th North St, Liverpool, NY 13088-3148 | 2006-09-27 |
| 1477652113 | Niagara Hospice, Inc. | Hospice Care, Community Based | 4675 Sunset Dr, Lockport, NY 14094-1231 | 2006-09-21 |
| 1306941117 | Comfortcare of Cayuga County Inc | Hospice Care, Community Based | 1130 Corporate Drive, Auburn, NY 13021-1637 | 2006-09-14 |
| 1396759213 | Hospice of Fulton County Inc | Hospice Care, Community Based | 108 Steele Ave, Gloversville, NY 12078-4617 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
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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.