BAKER VICTORY SERVICES – NPI #1083867204
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

BAKER VICTORY SERVICES is a community based residential treatment facility located in LACKAWANNA, NY. NPPES has assigned the NPI number 1083867204 to BAKER VICTORY SERVICES on October 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAKER VICTORY SERVICES below.

NPI Profile for
BAKER VICTORY SERVICES

NPI Number
1083867204
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAKER VICTORY SERVICES
Primary location
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone: (716) 828-9811 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL EDBAUER
MEDICAL DIRECTOR
Phone: (716) 828-9357
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
NY F335624-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.