LORETTO GERIATRIC COMMUNITY RESIDENCE


Address: 750 E Brighton Ave, Syracuse, NY 13205-2201
Phone: 3154133658

LORETTO GERIATRIC COMMUNITY RESIDENCE (NPI# 1770783813) 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) 1770783813
Entity Type Organization
Organization Name LORETTO GERIATRIC COMMUNITY RESIDENCE
Practice Address 750 E Brighton Ave
Syracuse
NY 13205-2201
Practice Telephone 3154133658
Enumeration Date 2007-07-18
Last Update Date 2007-07-18
Authorized Official Name CONNIE THOMPSON (ACCOUNTING MANAGER)
Authorized Official Telephone 3154133658
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 01386938 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215137575 Loretto Geriatric Community Residence Assisted Living Facility 750 E Brighton Ave, Syracuse, NY 13205-2201 2007-07-24

Office Location

Street Address 750 E BRIGHTON AVE
City SYRACUSE
State NY
Zip Code 13205-2201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215137575 Loretto Geriatric Community Residence Assisted Living Facility 750 E Brighton Ave, Syracuse, NY 13205-2201 2007-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710473707 Michelle E Case Social Worker 2610 S Salina St Ste 2, Syracuse, NY 13205 2018-07-02
1104332022 Gregory Ramsden Chiropractor 182 Intrepid Ln Ste B, Syracuse, NY 13205 2017-12-15
1619379286 Hope for Us Housing, Inc Home Health 5957 South Salina St, Syracuse, NY 13205 2014-09-25
1861822116 Michael Lee Loudner Registered Nurse 4842 Broad Rd, Syracuse, NY 13205 2013-11-24
1285987537 Teeatta Owens Licensed Practical Nurse 114 Mcclure Ave, Syracuse, NY 13205 2012-10-24
1891082533 Kamaloshini Poovalingam Student in an Organized Health Care Education/Training Program 211 Lafayette Road, 604, Syracuse, NY 13205 2011-07-01
1730483348 Kenneth E. Hoogs Md PC Urology 100 Intrepid Lane, Syracuse, NY 13205 2010-12-23
1699092361 Central Park Nursing Care 4905 S Salina St., Syracuse, NY 13205 2010-04-21
1215170741 Toni Ramele Moore Licensed Practical Nurse 614 W. Seneca Turnpike, Syracuse, NY 13205 2009-04-14
1851536080 Shalanda Cherrise Sutton Licensed Practical Nurse 228 W. Lafayette Rd, Syracuse, NY 13205 2008-12-02
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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215137575 Loretto Geriatric Community Residence Assisted Living Facility 750 E Brighton Ave, Syracuse, NY 13205-2201 2007-07-24
1558428771 Hutchings Psychiatric Center Assisted Living Facility 620 Madison St, Syracuse, NY 13210-2319 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578911921 Leroy Manor Assisted Living Facility 8678 Lake Street Road, Leroy, NY 14482 2016-05-26
1043679384 Blakes Income Tax Services Assisted Living Facility 4509 White Plains Road, Bronx, NY 10470 2016-02-15
1578909594 Tanis Phillips Assisted Living Facility 98 Cathedral Ln, Cheektowaga, NY 14225-4612 2013-05-16
1861526055 Ohel Children's Home &family Services Assisted Living Facility 1217 Gateway Blvd, Far Rockaway, NY 11691 2007-03-16
1407913619 Capital District Psychiatric Center Assisted Living Facility 75 New Scotland Ave, Albany, NY 12208-3409 2007-01-03
1407911928 Middletown Psychiatric Center Assisted Living Facility 140 Old Orangeberg Rd, Orangeberg, NY 10962 2006-12-26
1588033609 Nys Office of Mental Health Assisted Living Facility 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 2015-09-18
1487057972 Mary Agnes Manor Assisted Living Facility 307 Porter Ave, Buffalo, NY 14201-1031 2014-09-29
1740683226 Heritage Manor of Ransomville Assisted Living Facility 3509 Ransomville Rd, Ransomville, NY 14131-9602 2014-09-29
1619123999 Crystal Run Village Assisted Living Facility 601 Stony Ford Rd, Middletown, NY 10941-3951 2008-08-18
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Competitor

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City SYRACUSE
Zip Code 13205

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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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