Healthcare Provider Details

I. General information

NPI: 1972552776
Provider Name (Legal Business Name): THE FAMILY & CHILDREN'S SOCIETY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 12/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 MAIN ST
BINGHAMTON NY
13905-2522
US

IV. Provider business mailing address

257 MAIN ST
BINGHAMTON NY
13905-2522
US

V. Phone/Fax

Practice location:
  • Phone: 607-729-6206
  • Fax: 607-729-1858
Mailing address:
  • Phone: 607-729-6206
  • Fax: 607-729-1858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. LISA HOESCHELE
Title or Position: CEO
Credential:
Phone: 607-423-2764