CAZENOVIA RECOVERY SYSTEMS, INC. (NPI# 1780093005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780093005 |
| Entity Type | Organization |
| Organization Name | CAZENOVIA RECOVERY SYSTEMS, INC. |
| Other Organization Name | SUPPORTIVE LIVING |
| Practice Address |
605 Fillmore Ave Buffalo NY 14212-1366 |
| Mailing Address |
2671 Main St Buffalo NY 14214-2030 |
| Practice Telephone | 7168947274 |
| Practice Fax Number | 7168947275 |
| Mailing Telephone | 7168534331 |
| Mailing Fax Number | 7168524533 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | SUZANNE BISSONETTE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7168524331 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OASAS OPERATING CERTIFICATE NUMBER | 160210177 | 01 |
| Other Name | Type Code |
|---|---|
| Supportive Living | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366807240 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 5586 Niagara Street Ext, Lockport, NY 14094-1804 | 2015-12-21 |
| 1417322686 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 7397 Lake Rd, Appleton, NY 14008-9612 | 2015-12-14 |
| 1316312580 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 431 Memorial Pkwy, Niagara Falls, NY 14303-1407 | 2015-12-14 |
| 1467836486 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 2671 Main St, Buffalo, NY 14214-2030 | 2015-07-20 |
| 1902286149 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 923 Sycamore St, Buffalo, NY 14212-1339 | 2015-06-03 |
| 1447669742 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 200 Albany St, Buffalo, NY 14213-1801 | 2014-08-12 |
| 1881003192 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 486 N Legion Dr, Buffalo, NY 14210-2341 | 2014-08-12 |
| 1215346531 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 9136 Sandrock Rd, Eden, NY 14057-9526 | 2014-08-12 |
| 1447615976 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 76 West Ave, 2nd Floor, Lockport, NY 14094-3641 | 2015-12-29 |
| 1003225319 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 1430 Main St, Buffalo, NY 14209-1733 | 2014-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CAZENOVIA RECOVERY SYSTEMS, INC. | 2495 Main Street, Suite 417, Buffalo, Ny 14214 |
| Street Address |
605 FILLMORE AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14212-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508349283 | Lj Transportation Service | Taxi | 123 Sobieski St, Buffalo, NY 14212 | 2018-09-10 |
| 1598157463 | Safiya Haamid | Registered Nurse | 135 Loepere St, Buffalo, NY 14212 | 2015-03-02 |
| 1124345426 | Matthew Michael Peunil Jr. | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-26 |
| 1265404982 | Christopher Schaeffer | Internal Medicine | 1021 Broadway St, Buffalo, NY 14212 | 2006-02-06 |
| 1639697279 | Sara Kathleen Lis | Counselor | 1131 Broadway St, Buffalo, NY 14212 | 2017-09-05 |
| 1770022212 | Jeremy Michael Tomaino | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2017-02-16 |
| 1689033441 | Latajana Hall | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2016-02-22 |
| 1336549831 | James Maska | Physical Therapist | 1021 Broadway St, Buffalo, NY 14212 | 2014-09-03 |
| 1871934398 | Mark John Harrigan | Registered Nurse | 1384 Broadway, Buffalo, NY 14212 | 2013-07-12 |
| 1740542299 | Xika Zhao | Registered Nurse | 1500 Broadway, Buffalo, NY 14212 | 2012-06-11 |
| Find all providers in zip 14212 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467836486 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 2671 Main St, Buffalo, NY 14214-2030 | 2015-07-20 |
| 1902286149 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 923 Sycamore St, Buffalo, NY 14212-1339 | 2015-06-03 |
| 1447669742 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 200 Albany St, Buffalo, NY 14213-1801 | 2014-08-12 |
| 1881003192 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 486 N Legion Dr, Buffalo, NY 14210-2341 | 2014-08-12 |
| 1437565769 | Bestself Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 232 Hempstead Ave # 262, Buffalo, NY 14215-3404 | 2014-07-08 |
| 1396863445 | Alcohol & Drug Dependency Services, Inc. | Substance Abuse Rehabilitation Facility | 291 Elm St, Buffalo, NY 14203 | 2007-03-27 |
| 1003225319 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 1430 Main St, Buffalo, NY 14209-1733 | 2014-08-12 |
| 1730256231 | Horizon Village | Substance Abuse Rehabilitation Facility | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
| 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.