COUNTY OF SULLIVAN NPI 1922009919

NPI Information

  • NPI: 1922009919
  • Provider Name: COUNTY OF SULLIVAN
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Other Name: SULLIVAN COUNTY PUBLIC HEALTH SERVICES
  • CLIA Number: 33D0725953
  • Address: 50 COMMUNITY LN
    LIBERTY, NY
    ZIP 12754
  • Phone: (845) 292-5910

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NPI Details

COUNTY OF SULLIVAN is a home health in Liberty, NY. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. COUNTY OF SULLIVAN NPI is 1922009919. The provider is registered as an organization entity type.
The provider Other Name Is Sullivan County Public Health Services.

The provider's business location address is:

50 COMMUNITY LN
LIBERTY, NY
ZIP 12754-851
Phone: (845) 292-5910
Fax: (845) 513-2276

The provider's authorized official is Jill Hubert-simon .
The authorized official title is Deputy Director and has the following contact phone number (845) 292-5910.

The CLIA number assigned to this NPI record is 33D0725953 - home health agency with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 8/2/2005 and was last updated on 7/8/2024.

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
1251E00000XHome HealthNEW YORKYes
2251K00000XPublic Health or WelfareNEW YORKNo

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
100966770MEDICAIDNEW 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: 3/30/2025

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