SULLIVAN COUNTY PUBLIC HEALTH SERVICES - NPI 1104972876 - Early Intervention Provider Agency in Liberty, NY

Q: What is Sullivan County Public Health Services's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

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About Sullivan County Public Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN COUNTY PUBLIC HEALTH SERVICES (NPI 1104972876) is a healthcare organization registered as an early intervention provider agency in Liberty, New York and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jill Hubert-simon, Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1104972876

Entity TypeOrganization

Primary Taxonomy252Y00000X

Legal Business NameSULLIVAN COUNTY PUBLIC HEALTH SERVICES

Location Address50 COMMUNITY LNLiberty, NY 12754-2851

Mailing Address50 Community Ln, Po Box 590Liberty, NY 12754-2851 · (845) 292-5910 · Fax (845) 513-2276

Phone(845) 292-5910

Fax(845) 513-2276

Organization SubpartNo

Authorized OfficialJill Hubert-simonDeputy Director · (845) 292-5910

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1104972876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies

Taxonomy Code252Y00000X

Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Also ListedCase ManagementTaxonomy 251B00000X

50 COMMUNITY LN, Liberty, NY 12754

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Other Identifiers 1

Medicaid00472977NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0725953

Sullivan County Public Health Services · Liberty, NY

Active · expires Mar 26, 2027

CLIA Number33D0725953

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 1, 1992

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Quazi S. Al-Tariq

Laboratory Phone(845) 292-5910

Laboratory LocationSullivan County Public Health Services50 Community Lane, Liberty, NY 12754

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER GREEN

Case Manager/Care Coordinator