NYSARC, INC. BROOME-TIOGA COUNTY CHAPTER
NPI 1962491852
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Binghamton, NY

NPI Status: Active since October 14, 2005

Contact Information

125 CUTLER POND RD
BINGHAMTON, NY
ZIP 13905
Phone: (607) 723-8361
Fax: (607) 231-5310

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About NYSARC, INC. BROOME-TIOGA COUNTY CHAPTER

This page provides the complete NPI Profile along with additional information for Nysarc, Inc. Broome-tioga County Chapter, a provider established in Binghamton, New York operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1962491852 assigned on October 2005. The practitioner's primary taxonomy code is 320600000X with license number 6066120 (NY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mary Jo Thorn (Executive Director)

NPI
1962491852
Provider Name
NYSARC, INC. BROOME-TIOGA COUNTY CHAPTER
Entity Type
Organization
Location Address
125 CUTLER POND RD BINGHAMTON, NY 13905
Location Phone
(607) 723-8361
Location Fax
(607) 231-5310
Mailing Address
125 CUTLER POND RD BINGHAMTON, NY 13905
Mailing Phone
(607) 723-8361
Mailing Fax
(607) 231-5310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
6066120
License State
NY
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066441 (NY)
2320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066443 (NY)
3320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066440 (NY)
4320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066454 (NY)
5320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066442 (NY)
6320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066450 (NY)
7320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066461 (NY)
8320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066462 (NY)
9320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

6066444 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY JO THORN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(607) 723-8361

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02246082MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962491852
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122892810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 8 + 9 + 2 + 8 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1962491852 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962491852, enumerated as an "organization" on October 14, 2005.

The provider is located at 125 CUTLER POND RD BINGHAMTON, NY 13905 and the phone number is (607) 723-8361.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.