CHURCHILL MANOR (NPI# 1851590830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851590830 |
| Entity Type | Organization |
| Organization Name | CHURCHILL MANOR |
| Practice Address |
700 E Brighton Ave Syracuse NY 13205-2201 |
| Mailing Address |
750 E Brighton Ave Syracuse NY 13205-2201 |
| Practice Telephone | 3154921329 |
| Mailing Telephone | 3154921329 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | MARIA JOHNSON (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3154133688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01445252 | 05 |
| Street Address |
700 E BRIGHTON AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650873 | Loretto Health and Rehabilitation Center | Skilled Nursing Facility | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2005-09-22 |
| 1083263313 | Erica L Iannello | Occupational Therapist | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2019-09-09 |
| 1891272613 | Jada Cheyene Spiceland | Occupational Therapy Assistant | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2018-07-24 |
| 1376086504 | Carrie Meghan Raymond | Nurse Practitioner | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2016-11-20 |
| 1326596826 | Mary Joan Weinheimer | Nurse Practitioner | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2016-09-14 |
| 1225581523 | Loretto Health and Rehab | Skilled Nursing Facility | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2016-08-03 |
| 1083926802 | Amanda Sue Lois | Physician Assistant | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2010-07-09 |
| 1437307766 | Loretto Health Support, LLC | Durable Medical Equipment & Medical Supplies | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2008-08-28 |
| 1275790818 | Loretto | Skilled Nursing Facility | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2008-05-21 |
| 1710168489 | Tina Elaine Lynch | Occupational Therapist | 700 E Brighton Ave, Syracuse, NY 13205 | 2007-11-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124552666 | Purple Chair Holdings LLC | Assisted Living Facility | 1155 W 3150 S, Syracuse, UT 84075-9094 | 2017-04-11 |
| 1750775235 | Syracuse Assisted Living Phase I | Assisted Living Facility | 2063 W. 1900 S., Syracuse, UT 84075 | 2015-03-24 |
| 1821263161 | Loretto Rest Inc | Assisted Living Facility | 417 Churchill Ave, Syracuse, NY 13205-2124 | 2008-04-28 |
| 1497897391 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1720 Linden St, Syracuse, NE 68446-9797 | 2007-02-14 |
| 1578756136 | Seneca Heights Corporation | Assisted Living Facility | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2007-08-27 |
| 1124055629 | Hamilton County Hospital | Assisted Living Facility | 700 North Huser, Syracuse, KS 67878-0948 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950966 | Kim One Family Type Homes for Adults | Assisted Living Facility | 361 California Ave, Uniondale, NY 11553-1857 | 2020-10-26 |
| 1992310395 | Gasna Aladin | Assisted Living Facility | 39 Irving St, Valley Stream, NY 11580-1634 | 2020-09-11 |
| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1366067738 | Fountainview At College Rd | Assisted Living Facility | 2000 Fountainview Dr, Monsey, NY 10952-2875 | 2020-06-11 |
| 1831734367 | The Sentinel of Port Jervis | Assisted Living Facility | 2247 Greenville Tpke, Port Jervis, NY 12771-3216 | 2019-11-07 |
| 1871135525 | Heather Hieghts of Pittsford | Assisted Living Facility | 160 W Jefferson Rd, Pittsford, NY 14534-1802 | 2019-10-15 |
| 1306499884 | Olean Manor Inc | Assisted Living Facility | 3260 N 7th St, Allegany, NY 14706-9532 | 2019-07-23 |
| 1053879791 | The Mohawk Homestead | Assisted Living Facility | 62 E. Main St., Mohawk, NY 13407 | 2019-03-12 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1699274290 | Rtacf LLC | Assisted Living Facility | 1 Buntline Dr, Stamford, NY 12167-1203 | 2018-02-08 |
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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.