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SUSQUEHANNA CARE CORPORATION NPI 1235341157


NPI Information

NPI: 1235341157
Provider Name: SUSQUEHANNA CARE CORPORATION
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 33D0168050

Address:
297 CHENANGO ST
BINGHAMTON, NY
ZIP 13901
Phone: (607) 773-0547
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SUSQUEHANNA CARE CORPORATION is a community based residential treatment facility, intellectual and/or developmental disabilities in Binghamton, NY. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SUSQUEHANNA CARE CORPORATION NPI is 1235341157. The provider is registered as an organization entity type.

The provider's business location address is:

297 CHENANGO ST
BINGHAMTON, NY
ZIP 13901-312
Phone: (607) 773-0547

The provider's authorized official is Stephen Woodruff .
The authorized official title is Executive Director and has the following contact phone number (607) 729-9206.

The CLIA number assigned to this NPI record is 33D0168050 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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