Provider Demographics
NPI:1467987933
Name:NYSARC INC. ONTARIO COUNTY CHAPTER
Entity Type:Organization
Organization Name:NYSARC INC. ONTARIO COUNTY CHAPTER
Other - Org Name:ONTARIO ARC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-394-7500
Mailing Address - Street 1:3071 COUNTY COMPLEX DR
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-9505
Mailing Address - Country:US
Mailing Address - Phone:585-394-7500
Mailing Address - Fax:585-394-1987
Practice Address - Street 1:3071 COUNTY COMPLEX DR
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-9505
Practice Address - Country:US
Practice Address - Phone:585-394-7500
Practice Address - Fax:585-394-1987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02093089Medicaid
NY02702005Medicaid
NY02360552Medicaid
NY01660306Medicaid
NY02003932Medicaid