Provider Demographics
NPI:1821272972
Name:CAYUGA HOME FOR CHILDREN
Entity Type:Organization
Organization Name:CAYUGA HOME FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID LIAISON
Authorized Official - Prefix:
Authorized Official - First Name:FRANJESKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIMARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-906-4796
Mailing Address - Street 1:101 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-5028
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-5028
Practice Address - Country:US
Practice Address - Phone:315-253-5383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X, 253J00000X
NY320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105754605Medicaid
FL105754602Medicaid
FL105754603Medicaid
NY02997542Medicaid
DE250566894Medicaid
FL105754604Medicaid
NY02593951Medicaid