UPSTATE CEREBRAL PALSY (NPI# 1376604371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376604371 |
Entity Type | Organization |
Organization Name | UPSTATE CEREBRAL PALSY |
Practice Address |
9592 Hayes Rd Marcy NY 13403-2606 |
Mailing Address |
1020 Mary St Utica NY 13501-1930 |
Practice Telephone | 3157681007 |
Practice Fax Number | 3157681067 |
Mailing Telephone | 3157246907 |
Mailing Fax Number | 3157330791 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2018-09-13 |
Authorized Official Name | GENO DECONDO (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3159272092 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 01332796 | NY | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01332796 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184785172 | Upstate Cerebral Palsy | Intermediate Care Facility, Mentally Retarded | 1235 Tilden Ave, Utica, NY 13501-4150 | 2006-12-13 |
1659525582 | Upstate Cerebral Palsy | Early Intervention Provider Agency | 1020 Mary St, Utica, NY 13501-1930 | 2008-11-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | UPSTATE CEREBRAL PALSY | 1020 Mary St, Utica, NY 13501-1930 |
Street Address |
9592 HAYES RD |
City | MARCY |
State | NY |
Zip Code | 13403-2606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972085330 | Magdalena Pociecha | Registered Nurse | 6050 Cavanaugh Road, Marcy, NY 13403 | 2018-09-02 |
1154856805 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 9225 River Rd, Marcy, NY 13403 | 2017-05-01 |
1396097358 | Denise Bulak | Registered Nurse | 6000 Route 291, Marcy, NY 13403 | 2012-10-15 |
1932417649 | Susan O. Shaffer | Occupational Therapist | 9479 Maynard Drive, Marcy, NY 13403 | 2010-09-15 |
1356507339 | Karen Ann Tourtelot | Registered Nurse | Central New York Psychiatric Center, River Rd, Marcy, NY 13403 | 2008-07-30 |
1407033640 | Randy Allen Dymond | Social Worker | Central New York Psychiatric Center, Old River Road, Marcy, NY 13403 | 2008-01-30 |
1972783629 | James A Mastroianni | Pharmacist | 9225 River Road, Marcy, NY 13403 | 2007-11-10 |
1760604128 | Terry Lee Harding | Nurse Practitioner | United Occupational Medicine, 33 Mitchell Ave #204, Binghamton, NY 13403 | 2007-05-03 |
1073730651 | Marybeth Russo | Social Worker | 9975 Hillside Terrace, Marcy, NY 13403 | 2007-04-18 |
1447388848 | Mountainside Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 5995 Route 291, Marcy, NY 13403 | 2007-02-28 |
Find all providers in zip 13403 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(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). |
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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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.