Provider Demographics
NPI:1619972916
Name:CAYUGA COUNTY
Entity Type:Organization
Organization Name:CAYUGA COUNTY
Other - Org Name:CAYUGA COUNTY HOME CARE AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:DIR. OF HEALTH AND HUMAN SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:ELANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-253-1451
Mailing Address - Street 1:160 GENESEE ST
Mailing Address - Street 2:FL 2
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-3424
Mailing Address - Country:US
Mailing Address - Phone:315-253-1451
Mailing Address - Fax:315-253-1409
Practice Address - Street 1:8 DILL ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3606
Practice Address - Country:US
Practice Address - Phone:315-253-1301
Practice Address - Fax:315-253-1465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0501600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00322005Medicaid
NYBA0959Medicare PIN
337079Medicare ID - Type UnspecifiedMEDICARE PROVIDER #