BAKER HALL INC NPI 1588875652

NPI Information

NPI: 1588875652
Provider Name: BAKER HALL INC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Doing Business As: BAKER VICTORY SERVICES
Address: 188 MARTIN ROAD
LACKAWANNA, NY
ZIP 14218
Phone: (716) 828-7485

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NPI Details

BAKER HALL INC is an intermediate care facility mentally retarded in Lackawanna, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BAKER HALL INC NPI is 1588875652. The provider is registered as an organization entity type.
The provider Is Doing Business As Baker Victory Services.

The provider's business location address is:

188 MARTIN ROAD
LACKAWANNA, NY
ZIP 14218-708
Phone: (716) 828-7485
Fax: (716) 827-8581

The provider's authorized official is Laurel Parzych .
The authorized official title is Cfo/coo and has the following contact phone number (716) 828-9751.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 10/21/2021.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		76600441	NEW YORK	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities			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	01129946	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: 11/21/2025

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