COUNTY OF SULLIVAN
NPI 1417987165
Community/Behavioral Health in Liberty, NY

Q: What is County Of Sullivan's NPI number?

The NPI number for County Of Sullivan is 1417987165. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Sullivan County Department of Community Services.

Q: What is County Of Sullivan's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: What quality rating does County Of Sullivan have?

CMS rates Sullivan County Public Health Services Chha 2.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

Active since July 04, 2006

2/5

Patient Care Rating

20 COMMUNITY LANE, LIBERTY, NY 12754(845) 292-8770(845) 513-2111 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2025, Dec 4, 2024 (2 updates tracked since 2024).

On this page

About County Of Sullivan NPPES

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

COUNTY OF SULLIVAN (NPI 1417987165), doing business as Sullivan County Department Of Community Services, is a healthcare organization registered as a community/behavioral health in Liberty, New York and active in the NPI registry since July 2006. The organization lists Salif Banse, Director, as its authorized official.

NPPES Registry Identity

NPI1417987165

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOUNTY OF SULLIVAN

Location Address20 COMMUNITY LANELiberty, NY 12754-0716

Mailing AddressPo Box 716, 20 Community LaneLiberty, NY 12754-0716 · (845) 292-8770 · Fax (845) 513-2110

Phone(845) 292-8770

Fax(845) 513-2111

Organization SubpartNo

Authorized OfficialSalif BanseDirector · (845) 292-8770

Enumeration DateJuly 4, 2006

Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1417987165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

20 COMMUNITY LANE, Liberty, NY 12754

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Other Names 1

Doing Business AsSullivan County Department Of Community Services

Other Identifiers 5

Medicaid00398370NY

Other12443NY · Beacon Health

Other143247NY · Ghi

Other143247NY · Value Options

Medicaid01147777NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to County Of Sullivan, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Zhaniizzha Kevii, LCSW

Clinical Social Worker

NPI 1114958386

20 COMMUNITY LANE
Liberty, NY 12754

(845) 292-8770

✔ PECOS✔ Accepts MedicareSame address

Quazi Al-Tariq, MD

Psychiatry

NPI 1124033808

225 DOLSON AVE STE 206A
Middletown, NY 10940

(845) 344-2573

✔ PECOS30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Sullivan County Public Health Services Chha (CMS certification number 337165), from CMS Care Compare.

Sullivan County Public Health Services Chha

Home health agency · Liberty, NY

2.5/5 Quality of Patient Care

OwnershipGovernment Operated

CMS Certification Number337165

Medicare-Certified SinceMarch 23, 1973

Phone(845) 292-5910

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner

98.9%

Patients who got better at walking or moving around

79.4%

Patients who got better at getting in and out of bed

76.5%

Patients who got better at bathing

73.5%

Patients whose breathing improved

72.2%

Patients who got better at taking their drugs correctly by mouth

70.3%

Patients checked for a flu shot for the current season

69.7%

Physician-recommended actions on medication issues completed on time

87%

Patients with a functional assessment and care plan at admission and discharge

96.2%

Patients experiencing one or more falls with major injury

Lower rates are better for this measure.

0.7%

New or worsened pressure ulcers or injuries (skin integrity)

Lower rates are better for this measure.

Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care

725 of 961 patient episodes · observed rate 75.44%

80.57% Better Than National Rate

Potentially preventable hospital readmissions after discharge

719 patient stays · observed rate 3.62%

Lower rates are better for this measure.

3.65% Same As National Rate

Medicare spending per episode of care, relative to the national average

1.00 = national average per episode of care

1.06

Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Sullivan's NPI number?

The NPI number for County Of Sullivan is 1417987165. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Sullivan County Department of Community Services.

Where is County Of Sullivan located?

County Of Sullivan is located at 20 Community Lane, Liberty, NY 12754. The listed phone number is (845) 292-8770.

What is County Of Sullivan's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is County Of Sullivan enrolled in Medicare?

Yes. County Of Sullivan is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Sullivan?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to County Of Sullivan, in Clinical Social Worker and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is County Of Sullivan a Medicare-certified home health agency?

Yes. Sullivan County Public Health Services Chha is a Medicare-certified home health agency, certified since March 23, 1973.

What quality rating does County Of Sullivan have?

CMS rates Sullivan County Public Health Services Chha 2.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for County Of Sullivan was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.