Provider Demographics
NPI:1700070927
Name:UNITY HOUSE OF CAYUGA COUNTY, INC.
Entity Type:Organization
Organization Name:UNITY HOUSE OF CAYUGA COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIGGIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-253-6227
Mailing Address - Street 1:217 GENESEE ST STE 14
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-3533
Mailing Address - Country:US
Mailing Address - Phone:315-253-6227
Mailing Address - Fax:315-282-0625
Practice Address - Street 1:217 GENESEE ST STE 14
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3533
Practice Address - Country:US
Practice Address - Phone:315-253-6227
Practice Address - Fax:315-282-0625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251B00000X
320800000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No251B00000XAgenciesCase Management
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01303795Medicaid
NY01455090Medicaid