CAZENOVIA RECOVERY SYSTEMS INC. NPI 1366807240

NPI Information

NPI: 1366807240
Provider Name: CAZENOVIA RECOVERY SYSTEMS, INC.

Other Name: MADONNA HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
5586 NIAGARA STREET EXT
LOCKPORT, NY
ZIP 14094
Phone: (716) 438-9131
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CAZENOVIA RECOVERY SYSTEMS, INC. is a substance abuse rehabilitation facility in Lockport, NY. The provider is 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. CAZENOVIA RECOVERY SYSTEMS, INC. NPI is 1366807240. The provider is registered as an organization entity type.
The provider Other Name Is Madonna House.

The provider's business location address is:

5586 NIAGARA STREET EXT
LOCKPORT, NY
ZIP 14094-804
Phone: (716) 438-9131
Fax: (716) 438-9653

The provider's authorized official is Lindsay Herndon .
The authorized official title is Ceo and has the following contact phone number (716) 314-5903.

The enumeration date for this NPI number is 12/21/2015 and was last updated on 5/23/2023.

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
1	324500000X	Substance Abuse Rehabilitation Facility		161211951	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	241112051	OTHER	NEW YORK	NY OASAS
2	04591168	MEDICAID	NEW YORK
3	03A3488	OTHER	NEW YORK	NY DOH

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: 4/28/2024

NPI Synchronization or Removal

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