JEFFERSON REHABILITATION CENTER (NPI# 1821205584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821205584 |
| Entity Type | Organization |
| Organization Name | JEFFERSON REHABILITATION CENTER |
| Practice Address |
301 E Grove St Dexter NY 13634-3147 |
| Mailing Address |
Po Box 41 Watertown NY 13601-0041 |
| Practice Telephone | 3156396333 |
| Mailing Telephone | 3157882730 |
| Mailing Fax Number | 3157888557 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL E. STERN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3157882730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 7642450 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01214662 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881801892 | Jefferson Rehabilitation Center | Intermediate Care Facility, Mentally Retarded | 443 Gaffney Dr, Watertown, NY 13601-1834 | 2007-05-17 |
| 1699982603 | Jefferson Rehabilitation Center | Intermediate Care Facility, Mentally Retarded | 453 Gaffney Dr, Watertown, NY 13601-1834 | 2007-05-17 |
| 1225579311 | Jefferson Rehabilitation Center | Point of Service | 615 West Main Street, Watertown, NY 13601 | 2017-03-09 |
| 1043519986 | Jefferson Rehabilitation Center | Early Intervention Provider Agency | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2011-03-17 |
| 1003060039 | Jefferson Rehabilitation Center | Early Intervention Provider Agency | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2008-11-04 |
| 1295941912 | Jefferson Rehabilitation Center | Clinic/Center | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2007-05-16 |
| Street Address |
301 E GROVE ST |
| City | DEXTER |
| State | NY |
| Zip Code | 13634-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104220615 | Amplify Rehabilitation Pt Ot Slp Pllc | Occupational Therapist | 133 Canal St, Dexter, NY 13634 | 2014-10-13 |
| 1265863443 | Vega Rhodes | Licensed Practical Nurse | 613 Orchard Street, Dexter, NY 13634 | 2013-12-12 |
| 1083947683 | Rachel Ann Matthews | Licensed Practical Nurse | 523 Lakeview Dr, Dexter, NY 13634 | 2009-09-14 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1194955237 | Kristy Hogan Littell | Speech-Language Pathologist | 17500 County Route 59, Dexter, NY 13634-2028 | 2009-07-23 |
| 1487835336 | Rebecca Sue Seery | Licensed Practical Nurse | 15620 County Route 59, Hall Drive, Dexter, NY 13634-2090 | 2007-11-20 |
| 1104125376 | Grace Gloria Kovalik | Licensed Practical Nurse | 25532 Road 152, Dexter, NY 13634-2162 | 2011-03-27 |
| 1639638034 | James Christopher II | Licensed Practical Nurse | 16123 Star School House Road Ext, Dexter, NY 13634-3022 | 2019-03-15 |
| 1043410210 | Dawn Marie Smith-gravelle | Licensed Practical Nurse | 16250 Evans Rd, Dexter, NY 13634-3048 | 2007-07-24 |
| 1538226535 | General Brown Central School District | Local Education Agency (LEA) | 17643 Cemetery Rd, Dexter, NY 13634-3092 | 2007-01-02 |
| Find all providers in zip 13634 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
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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.