ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY (NPI# 1053452656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053452656 |
| Entity Type | Organization |
| Organization Name | ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY |
| Other Organization Name | ST. CAMILLUS TBI WAIVER SERVICES |
| Practice Address |
813 Fay Rd Syracuse NY 13219-3009 |
| Practice Telephone | 3154882951 |
| Practice Fax Number | 3154887734 |
| Mailing Telephone | 3154882951 |
| Mailing Fax Number | 3154887734 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | MR. MICHAEL ZINGARO (CFO) |
| Authorized Official Telephone | 3157030646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | TBI00076 | NY | Agencies |
| Y | 251B00000X | Case Management | TBI00076 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01585359 | 05 |
| Other Name | Type Code |
|---|---|
| St. Camillus TBI Waiver Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902947583 | St. Camillus Residential Health Care Facility | Clinic/Center | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-02-08 |
| 1942341532 | St. Camillus Residential Health Care Facility | Clinic/Center | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-02-08 |
| 1720129323 | St. Camillus Residential Health Care Facility | Non-emergency Medical Transport (VAN) | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-02-08 |
| 1336289909 | St. Camillus Residential Health Care Facility | Clinic/Center | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-02-06 |
| 1972528271 | St. Camillus Residential Health Care Facility | Home Health | 813 Fay Rd, Syracuse, NY 13219-3009 | 2006-07-13 |
| 1659396943 | St. Camillus Residential Health Care Facility | Skilled Nursing Facility | 813 Fay Rd, Syracuse, NY 13219-3009 | 2006-07-13 |
| 1215960802 | St. Camillus Residential Health Care Facility | Internal Medicine | 813 Fay Rd, Syracuse, NY 13219-3009 | 2006-07-08 |
| Street Address |
813 FAY RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13219-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538110879 | Annie M Kelly | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2006-05-12 |
| 1942831177 | Emily Dipaola | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-27 |
| 1295375699 | Denise W Ambrose | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-14 |
| 1710527254 | Jesse L Peck | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-13 |
| 1578076071 | Anna Kathryn Rue | Physical Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-11-07 |
| 1699293076 | Shelbi Montanaro | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-09-06 |
| 1467973610 | Emily Block Treglia | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-06-28 |
| 1902334972 | Haley Marie Carey | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-06-02 |
| 1932640810 | Katie Benz | Occupational Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-13 |
| 1073053385 | Theresa Stanton | Respiratory Therapist, Registered | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| 1629549373 | Amy Elisabeth Steigerwald | Registered Nurse | 400 Walberta Rd., Syracuse, NY 13219 | 2018-12-06 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1801279732 | Podiatry Services of Central New York, PC | Podiatrist | 4623 Onondaga Blvd., Syracuse, NY 13219 | 2015-07-09 |
| 1699118893 | Christine Anne Marshall | Licensed Practical Nurse | 1604 West High Terrace, Syracuse, NY 13219 | 2013-04-08 |
| 1447596515 | Mary Lou Karrat | Social Worker | 4336 Fay Road, Syracuse, NY 13219 | 2012-12-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1053616904 | Ranz Consulting Goup | Preferred Provider Organization | 104 Watchower Ln, Syracuse, NY 13219 | 2011-01-24 |
| 1003123480 | Lisa Marie Searles | Occupational Therapist | 110 Elmtree Lane, Syracuse, NY 13219 | 2010-09-08 |
| Find all providers in zip 13219 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1205053766 | Meigs County Board of Mrdd | Case Management | 1310 Carleton Street, Syracuse, OH 45779 | 2007-04-19 |
| 1477672798 | Aids Community Resources, Inc | Case Management | 627 W Genesee St, Syracuse, NY 13204-2341 | 2007-03-28 |
| 1265573901 | New Beginnings Ppa | Case Management | 1478 W 1950 S, Syracuse, UT 84075-9822 | 2007-02-08 |
| 1952948101 | Helio Health, Inc. | Case Management | 329 N Salina St, Syracuse, NY 13203-1755 | 2019-12-06 |
| 1497035901 | Janis L. Scaturo Lcsw, P.C. | Case Management | 890 E Brighton Ave, Syracuse, NY 13205-2538 | 2011-08-29 |
| 1437371317 | Central New York Services, Inc. | Case Management | 518 James St, Suite 240, Syracuse, NY 13203-2238 | 2007-05-02 |
| 1225254881 | Liberty Resources Inc. | Case Management | 1045 James St, Syracuse, NY 13203-2730 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1609475433 | Cynthia Hornig | Case Management | 14 E 90th St Apt 2e, New York, NY 10128-0671 | 2020-10-22 |
| 1134726102 | Entrusted Care Inc. | Case Management | 207 E 91st St Apt 3c, Brooklyn, NY 11212-1320 | 2020-10-02 |
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1083223416 | Mari-lee L Van Scoter | Case Management | 32 Queens Way Apt 1, Camillus, NY 13031-1732 | 2020-07-31 |
| 1811515679 | Rimisac Family Health Np PC | Case Management | 120 Benchley Pl Frnt 1, Bronx, NY 10475-3402 | 2020-07-08 |
| 1891311965 | The Rural Outreach Center, Inc. | Case Management | 730 Olean Rd, East Aurora, NY 14052-9781 | 2020-06-24 |
| 1053932632 | First Choice Childrens Services | Case Management | 14 David Way, East Patchogue, NY 11772-4598 | 2020-05-05 |
| 1457971731 | Dariohealth Corp. | Case Management | 57 W 42nd St Fl 8, New York, NY 10036-8004 | 2020-04-16 |
| 1295361467 | C Yes Care | Case Management | 12 Stuart Dr, Coram, NY 11727-1914 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.