OrganizationActive
Baker Hall Inc
NPI 1588875652 · Intellectual Disabilities Intermediate Care Facility · Lackawanna, NY
Provider details
- NPI number
- 1588875652
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Laurel Parzych, Cfo/Coo(716) 828-9751
- License
- 76600441 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 76600441 (NY)
Residential Treatment Facilities
Practice location
188 Martin Road
Lackawanna, NY 14218-2708
Phone: (716) 828-7485
Fax: (716) 827-8581
Approximate (ZIP-level) locationGet directions
Mailing address
790 Ridge Road
Lackawanna, NY 14218-1629
Other names (DBA / former)
- Doing business as
- Baker Victory Services
- Doing business as
- Baker Victory Services
- Doing business as
- Olv Human Services
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.