Capital District Respite, Inc.

LBN: Capital District Respite, Inc.
Capital District Respite, Inc. is an health care organization with primary practice located at 199 Milton Ave Ste 11 , Ballston Spa NY 12020-1454. The organization recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as the primary health care specialty. Capital District Respite, Inc. can be contacted via phone (518) 527-6531, or through Tambasco, Paula A. via phone (518) 527-6531.

Contact Information

Primary practice address
199 Milton Ave Ste 11 Ballston Spa NY 12020-1454
Phone: (518) 527-6531
Fax: (518) 373-2901
Website:
Map and Directions
Authorized official contact:
Name: Tambasco, Paula A.
Phone: (518) 527-6531

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X

Profile Details

NPI number 1790177061
LBN Legal business name Capital District Respite, Inc.
DBA Doing business as
Authorized official Tambasco, Paula A.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790177061 NPPES
New York MEDICAID 03327819

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