ST JOSEPHS REHABILITATION CENTER, INC (NPI# 1629172762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629172762 |
| Entity Type | Organization |
| Organization Name | ST JOSEPHS REHABILITATION CENTER, INC |
| Practice Address |
159 Glenwood Dr Saranac Lake NY 12983-2385 |
| Mailing Address |
159 Glenwood Dr Po Box 470 Saranac Lake NY 12983-2385 |
| Practice Telephone | 5188913950 |
| Practice Fax Number | 5188916134 |
| Mailing Telephone | 5188913950 |
| Mailing Fax Number | 5188916134 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | RUSSELL CRONIN (CFO) |
| Authorized Official Telephone | 5188913950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00689758 | 05 |
| Street Address |
159 GLENWOOD DR |
| City | SARANAC LAKE |
| State | NY |
| Zip Code | 12983-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336155183 | Hector Roberto Biaggi | Psychiatry & Neurology | 159 Glenwood Dr, Saranac Lake, NY 12983 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013486315 | Aisha Dominique Wood | Physical Therapist | 2233 Ny-86, Saranac Lake, NY 12983 | 2018-11-15 |
| 1215357132 | Ashley Garwood | Occupational Therapist | 38 Tahoma Road, Saranac Lake, NY 12983 | 2014-04-17 |
| 1841537982 | Dean Everritt | Social Worker | 33 Depot St., Saranac Lake, NY 12983 | 2013-01-09 |
| 1265797013 | Danielle Carr | Counselor | 28 Bernard Street, Saranac Lake, NY 12983 | 2012-07-09 |
| 1275807489 | Deborah Ann Stevens | Licensed Practical Nurse | 157 Bloomingdale Ave Apt 3, Saranac Lake, NY 12983 | 2012-03-06 |
| 1699085910 | Jessica Evans Jakobe | Speech-Language Pathologist | 141 Petrova Ave, Petrova Elementary, Saranac Lake, NY 12983 | 2010-10-20 |
| 1548407562 | Eve M Burns | Obstetrics & Gynecology | 309 County Route 47 Ste 2, Saranac Lake, NY 12983 | 2009-01-13 |
| 1174735492 | Citizen Advocates Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6 Shepard Ave Apt. 1, Saranac Lake, NY 12983 | 2007-05-07 |
| 1750442513 | High Peaks Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 309 County Route 47 Ste 7, Saranac Lake, NY 12983 | 2006-12-13 |
| 1467536797 | Clifford Gerard Wagner | Chiropractor | 53 Woodruff Street, Saranac Lake, NY 12983 | 2006-10-24 |
| Find all providers in zip 12983 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558808469 | Vets Care | Rehabilitation Hospital | 2698 8th Ave, New York, NY 10030-1219 | 2017-01-30 |
| 1477900926 | Shannon Blake | Rehabilitation Hospital | 55 N Exchange St, Geneva, NY 14456-1237 | 2016-05-14 |
| 1225401094 | No Name Given Youdon | Rehabilitation Hospital | 9220 51st Ave, Elmhurst, NY 11373-4014 | 2015-11-02 |
| 1841669900 | Montefiore | Rehabilitation Hospital | 600 E. 233rd, Bronx, NY 10466 | 2015-09-18 |
| 1205228087 | Brian Gariepy | Rehabilitation Hospital | 1426 Promised Land Acres, Olean, NY 14760-9417 | 2015-03-03 |
| 1790031797 | Nyu Langone Medical Center/ Rusk Institute of Rehabilitation Medicine | Rehabilitation Hospital | 400 E 34th St Rm 515, New York, NY 10016-4901 | 2012-07-27 |
| 1831468685 | Nassau University Medical Center | Rehabilitation Hospital | 33 W Dover St, Valley Stream, NY 11580-4128 | 2011-12-23 |
| 1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
| 1073897005 | Blandy Leonard | Rehabilitation Hospital | 1048 E 84th St, Brooklyn, NY 11236-4228 | 2011-10-10 |
| 1053617712 | Chopra Physician Pllc | Rehabilitation Hospital | 25a Barnum Ave, Plainview, NY 11803-6005 | 2011-01-28 |
| Find all providers with the same taxonomy | ||||
| City | SARANAC LAKE |
| Zip Code | 12983 |
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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.