UPSTATE CEREBRAL PALSY, INC


Address: 124 Brookley Road, Crp #7, Rome, NY 13441
Phone: 3155331166

UPSTATE CEREBRAL PALSY, INC (NPI# 1316008311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316008311
Entity Type Organization
Organization Name UPSTATE CEREBRAL PALSY, INC
Practice Address 124 Brookley Road
Crp #7
Rome
NY 13441
Mailing Address 1020 Mary St
Utica
NY 13501-1930
Practice Telephone 3155331166
Practice Fax Number 3155331165
Mailing Telephone 3157246907
Mailing Fax Number 3157330791
Enumeration Date 2006-12-13
Last Update Date 2018-10-26
Authorized Official Name GENO DECONDO (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3157246907
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 02708809 NY Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 02708809 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659432656 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 320 Niagara St, Utica, NY 13501-1012 2006-12-13
1790846780 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 1237 Tilden Ave, Dimeo Residence, Utica, NY 13501-4150 2006-12-13
1922169911 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 1245 Tilden Ave, Utica, NY 13501-4100 2006-12-13
1871654863 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 120 Brookley Road, Crp #5, Rome, NY 13341 2006-12-13
1780745778 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 122 Brookley Road, Crp #6, Rome, NY 13341 2006-12-13
1609937697 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 126 Brookley Road, Rome, NY 13441-0000 2006-12-13
1508926528 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 1247 Tilden Ave, Utica, NY 13501-4100 2006-12-11
1689991341 Upstate Cerebral Palsy, Inc Early Intervention Provider Agency 1020 Mary St, Utica, NY 13501-1930 2010-04-21
1649426214 Upstate Cerebral Palsy, Inc Community Based Residential Treatment Facility, Mental Illness 1020 Mary St, Utica, NY 13501-1930 2008-08-14
1538387204 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 1020 Mary St, Utica, NY 13501-1930 2007-04-20

Office Location

Street Address 124 BROOKLEY ROAD
CRP #7
City ROME
State NY
Zip Code 13441

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831484567 Griffiss Ec, LLC Clinic/Center 105 Dart Circle, Rome, NY 13441 2011-06-10
1437328713 Duane Leo Wallace Dentist 63 Geiger Road, Rome, NY 13441 2008-02-21
1821102161 Nicholas S Peters Internal Medicine 267 Hill Road, Suite 200, Rome, NY 13441 2006-08-17
1396769048 Judy Norman Wilburn Nurse Practitioner Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 2006-07-26
1275590408 Antonietta Luisi Optometrist 125 Brookley Road, Rome, NY 13441 2006-05-01
1851822175 Elizabeth C Santaniello Nurse Practitioner 267 Hill Rd, Rome, NY 13441 2017-03-27
1730521964 Kathleen Grabo Pallay Nurse Practitioner 91 Perimeter Rd, Rome, NY 13441 2013-07-30
1316208002 Robert Firth Pickels Jr. Surgery 267 Hill Road, Rome, NY 13441 2012-05-30
1598851545 Faxton-st. Lukes Healthcare Clinic/Center 91 Perimeter Rd, Ste. 140, Rome, NY 13441 2006-10-05
1609937697 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 126 Brookley Road, Rome, NY 13441-0000 2006-12-13
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851442784 Upstate Cerebral Palsy, Inc. Intermediate Care Facility, Mentally Retarded 92 Geiger Road, Rome, NY 13441-4319 2007-01-16
1871654863 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 120 Brookley Road, Crp #5, Rome, NY 13341 2006-12-13
1780745778 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 122 Brookley Road, Crp #6, Rome, NY 13341 2006-12-13
1609937697 Upstate Cerebral Palsy, Inc Intermediate Care Facility, Mentally Retarded 126 Brookley Road, Rome, NY 13441-0000 2006-12-13
1922148238 State of New York Intermediate Care Facility, Mentally Retarded 801 Cypress St, Rome, NY 13440-2129 2007-02-07
1437223914 Nw Ga Regional Hospital Icf Mr Intermediate Care Facility, Mentally Retarded 1305 Redmond Cir Nw, Rome, GA 30165-1345 2006-11-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336762665 Schuyler County Chapter, Nysarc, Inc. Intermediate Care Facility, Mentally Retarded 260 W 8th St, Elmira Heights, NY 14903-1502 2020-05-21
1518580851 Schuyler County Chapter, Nysarc, Inc. Intermediate Care Facility, Mentally Retarded 525 Liberty St, Elmira, NY 14904-1517 2020-05-21
1386276541 United Cerebral Palsy of Nyc Inc Intermediate Care Facility, Mentally Retarded 1841-1845 Lacombe Ave, Bronx, NY 10472 2020-02-06
1003447012 State of New York Intermediate Care Facility, Mentally Retarded 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 2020-01-29
1427696061 Elderberry Icf Intermediate Care Facility, Mentally Retarded 15 Poem Place, Monticello, NY 12701 2019-12-13
1538666052 Upstate Cerebral Palsy, Inc. Intermediate Care Facility, Mentally Retarded 95 Seymour Lane, Westmoreland, NY 13490 2018-04-11
1457857716 Nysarc, Inc. Cattaraugus-niagara County Chapter Intermediate Care Facility, Mentally Retarded 6821 Saunders Settlement Rd, Sanborn, NY 14132-9440 2018-04-04
1750804951 Iri: Innovative Resources for Independence Intermediate Care Facility, Mentally Retarded 922 Rainbow Commons Ct, Melville, NY 11747 2017-07-19
1962959403 Linda Burgess Intermediate Care Facility, Mentally Retarded 35 E 8th Ave, Gloversville, NY 12078-2229 2016-09-01
1154774727 Birch Family Services, Inc. Intermediate Care Facility, Mentally Retarded 525 W 149th St, New York, NY 10031-3402 2016-07-19
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City ROME
Zip Code 13441

Improve Information

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Dataset Information

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.

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