Self-Direct Inc.

LBN: Self-Direct Inc.
Self-Direct Inc. is an health care organization with primary practice located at 7758 Maple Road , Baldwinsville NY 13027. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Self-Direct Inc. can be contacted via phone (315) 635-5374, or through Palumbo, Patricia A via phone (315) 635-5374.

Contact Information

Primary practice address
7758 Maple Road Baldwinsville NY 13027
Phone: (315) 635-5374
Fax: (315) 635-5375
Website:
Map and Directions
Authorized official contact:
Name: Palumbo, Patricia A
Phone: (315) 635-5374

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 1606L001 New York

Profile Details

NPI number 1033479910
LBN Legal business name Self-Direct Inc.
DBA Doing business as
Authorized official Palumbo, Patricia A
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2012
Last updated Oct 14th, 2020 - about 6 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 1033479910 NPPES
New York MEDICAID 02413674
New York MEDICAID 03160689

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