UPSTATE CEREBRAL PALSY, INC. (NPI# 1538666052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538666052 |
| Entity Type | Organization |
| Organization Name | UPSTATE CEREBRAL PALSY, INC. |
| Other Organization Name | UPSTATE CEREBRAL PALSY, INC. WESTMORELAND ICF |
| Practice Address |
95 Seymour Lane Westmoreland NY 13490 |
| Mailing Address |
1020 Mary St Utica NY 13501-1930 |
| Practice Telephone | 3159273480 |
| Practice Fax Number | 3159273481 |
| Mailing Telephone | 3159272117 |
| Mailing Fax Number | 3157330791 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | GENO DECONDO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3157246907 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPSTATE CEREBRAL PALSY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 62820440 | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Upstate Cerebral Palsy, Inc. Westmoreland ICF | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720374093 | Upstate Cerebral Palsy, Inc. | Case Management | 336 E State St, Herkimer, NY 13350-2026 | 2011-06-24 |
| 1851442784 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 92 Geiger Road, Rome, NY 13441-4319 | 2007-01-16 |
| 1932260932 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 2382 Bleecker St, Frankfort, NY 13340-4811 | 2006-12-13 |
| 1649624941 | Upstate Cerebral Palsy, Inc. | Clinic/Center | 10708 N Gage Rd, Barneveld, NY 13304-2527 | 2016-04-22 |
| 1124345889 | Upstate Cerebral Palsy, Inc. | Early Intervention Provider Agency | 1020 Mary St, Utica, NY 13501-1930 | 2010-04-21 |
| 1215098207 | Upstate Cerebral Palsy, Inc. | Clinic/Center | 1427 Genesee St, Utica, NY 13501-4343 | 2006-12-13 |
| 1578623617 | Upstate Cerebral Palsy, Inc. | Clinic/Center | 1020 Mary St, Utica, NY 13501-1930 | 2006-12-11 |
| Street Address |
95 SEYMOUR LANE |
| City | WESTMORELAND |
| State | NY |
| Zip Code | 13490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790734 | Mckenzie Liddle | Occupational Therapist | 5176 St. Rt. 233, Westmoreland, NY 13490 | 2018-11-27 |
| 1962893354 | Westmoreland Asc, LLC | Anesthesiology | 5325 State Route 233, Westmoreland, NY 13490 | 2015-02-06 |
| 1275819468 | Lisa Marie Brooks | Occupational Therapist | 5176 State Route 233, Westmoreland, NY 13490 | 2011-11-01 |
| 1598065179 | Diane Marie Dillabough | Occupational Therapy Assistant | 5176 St Route 233, Westmoreland Elemetary School, Westmoreland, NY 13490 | 2010-10-28 |
| 1164677084 | Jennifer Ann Thurston-brown | Occupational Therapist | 4791 Route 233, Westmoreland, NY 13490 | 2008-11-19 |
| 1902956741 | Westmoreland Central School District | Local Education Agency (LEA) | 5176 State Rte 233, Westmoreland, NY 13490 | 2007-01-12 |
| 1326425810 | Complete Companion Care, L.l.c | Home Health | 5214 State Route 233, Westmoreland, NY 13490-0107 | 2015-05-04 |
| 1932404217 | Kelly Lyn Kinsella | Speech-Language Pathologist | 6321 Cooper St, Westmoreland, NY 13490-1001 | 2011-01-19 |
| 1497829212 | Linda Frances Vanscoten | Physical Therapist | 7083 W South St, Westmoreland, NY 13490-1223 | 2006-11-20 |
| 1790335933 | Kylie Morgan Kaiding | Occupational Therapist | 5176 State Route 233, Westmoreland, NY 13490-1310 | 2019-09-19 |
| Find all providers in zip 13490 | ||||
| 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 |
| 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 |
| 1326498791 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 569 W 183rd St, New York, NY 10033-8627 | 2016-06-16 |
| Find all providers with the same taxonomy | ||||
| City | WESTMORELAND |
| Zip Code | 13490 |
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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.