NORTH COUNTRY TRANSITIONAL LIVING SERVICES INC NPI 1538294699

NPI Information

NPI: 1538294699
Provider Name: NORTH COUNTRY TRANSITIONAL LIVING SERVICES, INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
482 CITY CENTER DR
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-1777
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NORTH COUNTRY TRANSITIONAL LIVING SERVICES, INC is a community based residential treatment facility mental illness in Watertown, NY. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NORTH COUNTRY TRANSITIONAL LIVING SERVICES, INC NPI is 1538294699. The provider is registered as an organization entity type.

The provider's business location address is:

482 CITY CENTER DR
WATERTOWN, NY
ZIP 13601-365
Phone: (315) 782-1777
Fax: (315) 785-8628

The provider's authorized official is Ellen Ruth Mathews .
The authorized official title is Finance Specialist and has the following contact phone number (315) 782-1777.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 3/17/2015.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness				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	01305022	MEDICAID	NEW YORK
2	02135582	MEDICAID	NEW YORK

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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