CROUSE HEALTH INC. (NPI# 1265459945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265459945 |
| Entity Type | Organization |
| Organization Name | CROUSE HEALTH INC. |
| Other Organization Name | COMMONWEALTH PLACE |
| Practice Address |
6010 E Molloy Rd Syracuse NY 13211-2131 |
| Mailing Address |
736 Irving Ave Syracuse NY 13210-1687 |
| Practice Telephone | 3154702470 |
| Mailing Telephone | 3154702470 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | MRS. KIMBERLY BOYNTON (CFO) |
| Authorized Official Telephone | 3154707376 |
| Is Organization Subpart | Y |
| Parent Organization Name | CROUSE HEALTH HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 04105361 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01158709 | 05 |
| Other Name | Type Code |
|---|---|
| Commonwealth Place | Doing Business As Name - Organization |
| Street Address |
6010 E MOLLOY RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13211-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154692259 | Elizabeth Mitchell | Massage Therapist | 2605 Brewerton Roadd Lin, A Touch Above, Mattydale, NY 13211 | 2012-01-20 |
| 1265616189 | James Laurence Devine | Pharmacist | 2616 Brewerton Rd, Mattydale, NY 13211 | 2007-12-27 |
| 1578053468 | Kalie Jolyn Moore | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211 | 2018-05-16 |
| 1487997276 | Melissa S Mcgloun | Massage Therapist | 2605 Brewerton Rd, A Touch Above, Mattydale, NY 13211 | 2013-04-01 |
| 1770605784 | John Palazzoli | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2007-04-03 |
| 1407283161 | Andrea Marie Rubin | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-09-26 |
| 1689007585 | Justin Christopher Acker | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-08-14 |
| 1538190681 | K Mart Corp | Pharmacy | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2006-07-06 |
| 1215044201 | Clinton Charles Conger | Chiropractor | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2006-08-24 |
| 1962055954 | Corey Smith | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2019-07-19 |
| Find all providers in zip 13211 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598961419 | Syracusechemicaladdictiontreatment of Ks | Substance Abuse Rehabilitation Facility | 505 N Johnson, Syracuse, KS 67878-1008 | 2007-06-26 |
| 1609892280 | Helio Health, Inc. | Substance Abuse Rehabilitation Facility | 847 James St, Syracuse, NY 13203-2504 | 2006-07-15 |
| 1639729452 | Liberty Resources, Inc. | Substance Abuse Rehabilitation Facility | 1045 James St, Syracuse, NY 13203-2730 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
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| 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.