CLINTON COUNTY


Address: 16 Flynn Avenue, Plattsburgh, NY 12901-3797
Phone: 5185630950

CLINTON COUNTY (NPI# 1992854103) 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) 1992854103
Entity Type Organization
Organization Name CLINTON COUNTY
Other Organization Name CLINTON COUNTY NURSING HOME
Practice Address 16 Flynn Avenue
Plattsburgh
NY 12901-3797
Practice Telephone 5185630950
Practice Fax Number 5185631060
Mailing Telephone 5185630950
Mailing Fax Number 5185631060
Enumeration Date 2007-01-09
Last Update Date 2012-01-24
Authorized Official Name MRS. MARTHA C PEDULLA (COMPTROLLER)
Authorized Official Telephone 5185630950
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0952300N NY Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 00583624 05

Other Provider/Organization Names

Other Name Type Code
Clinton County Nursing Home Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700814704 Clinton County Registered Nurse 930 Fairfax St, Carlyle, IL 62231 2006-06-29
1164465902 Clinton County Counselor 130 Arizona Ave Ste 1500, Plattsburgh, NY 12903-4908 2006-06-13
1841242682 Clinton County Home Health 133 Margaret St, Plattsburgh, NY 12901 2006-05-17
1396797536 Clinton County Early Intervention Provider Agency 133 Margaret Street, Plattsburgh, NY 12901 2006-05-16
1356472088 Clinton County Local Education Agency (LEA) 133 Margaret St, Plattsburgh, NY 12901-2926 2007-03-07
1619929452 Clinton County Home Health 133 Margaret St, Plattsburgh, NY 12901 2006-05-17
1114979945 Clinton County Clinic/Center 133 Margaret Street, Plattsburgh, NY 12901 2006-05-17

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Clinton County Anesthesiology, S.C. 3050 Clearwater Trail, Steamboat Springs, CO 80487
New York State Corporations CLINTON COUNTY ANTI-VIOLENT CRIMES ORGANIZATION, INC. 1283 Middle Road Po Box 565, Willsboro, New York 12996
Iowa Business Entities CLINTON COUNTY ASSOCIATION OF PUBLIC LIBRARIES 505 10th Street, Frances Banta Waggoner Community Library, Dewitt, IA 52742
New York State Corporations CLINTON COUNTY BAR ASSOCIATION, INC. One Cumberland Avenue, Plattsburgh, New York 12901
Iowa Business Entities CLINTON COUNTY BIO ENERGY, LLC 5640 44th Ave S, Clinton, IA 52732
Indiana Business Entities CLINTON COUNTY BUILDING CORPORATION 225 Courthouse Square, Frankfort, IN 46041
New York State Corporations CLINTON COUNTY CAPITAL RESOURCE CORPORATION 190 Banker Rd Ste 500, Plattsburgh, Ny 12901
Iowa Business Entities CLINTON COUNTY CATTLEMENS ASSOCIATION 24990 290th St, Princeton, IA 52768
System for Award Management (SAM) Entities CLINTON COUNTY COMMISSIONERS 46 S South St 2nd Fl Courthouse, Wilmington, OH 45177-2280
Iowa Business Entities CLINTON COUNTY CONSERVATION FOUNDATION 2308 255th St., Grand Mound, IA 52751

Office Location

Street Address 16 FLYNN AVENUE
City PLATTSBURGH
State NY
Zip Code 12901-3797

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093284721 Get Movin Inc Non-emergency Medical Transport (VAN) 316 Cornelia St, 21a, Plattsburgh, NY 12901 2018-11-26
1528536141 Inmaculada Ibanez-casas Technician Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 2018-11-13
1760950372 Martha R Wasserbauer Dietetic Technician, Registered Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 2018-11-13
1568958411 Joel Cherian Student in an Organized Health Care Education/Training Program 159 Margaret St Ste 100, Plattsburgh, NY 12901 2018-07-03
1396284477 Florence Reynaud Acupuncturist 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 2017-02-22
1124565783 Mytchel Hector Registered Nurse 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 2017-01-20
1780136697 Michael Bruso Psychologist 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 2016-10-26
1902357536 Ashley Patricia Cota Nurse Practitioner 214 Cornelia St., Plattsburgh, NY 12901 2016-10-19
1255703310 Kenneth Wayne Ackley Licensed Practical Nurse 16 Ampersand Drive, Plattsbugh, NY 12901 2015-10-28
1275949448 Shanni Lee Hicks Specialist 63 Arnold Rd, Plattsburgh, NY 12901 2014-07-08
Find all providers in zip 12901

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477540193 Evergreen Valley Nursing Home Skilled Nursing Facility 8 Bushey Blvd., Plattsburgh, NY 12901-3785 2005-09-29
1548625882 Prnc Operating LLC Skilled Nursing Facility 8 Bushey Blvd, Plattsburgh, NY 12901-3761 2015-12-30
1629282314 Champlain Valley Physicians Hospital Medical Center Skilled Nursing Facility 75 Beekman St, Plattsburgh, NY 12901-1438 2007-05-10
1215098876 Champlain Valley Physicianshospital Medical Center Skilled Nursing Facility 75 Beekman St, Plattsburgh, NY 12901-1438 2006-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730701343 Diamond Medical Employment Agency Inc Skilled Nursing Facility 21873 Hempstead Ave, Queens Village, NY 11429-2103 2020-05-18
1427670884 Morris Park Rehabilitation and Nursing Center LLC Skilled Nursing Facility 1235 Pelham Parkway North, Bronx, NY 10469 2020-05-08
1659936334 Nelson Tannis Skilled Nursing Facility 165 Broadway, New York, NY 10006-1404 2019-05-07
1295390029 Westgate Operations Associates LLC Skilled Nursing Facility 525 Beahan Rd, Rochester, NY 14624-3403 2019-05-07
1952883423 Roscoe Regional Healthcare LLC Skilled Nursing Facility 420 Rockland Rd, Roscoe, NY 12776-6450 2018-08-31
1164904769 Renaissance Healthcare Group, LLC Skilled Nursing Facility 4975 Albany Post Rd, Staatsburg, NY 12580-6032 2018-08-30
1477049807 Itkin Occupational Therapy PC Skilled Nursing Facility 134 Mackenzie Street, Brooklyn, NY 11235 2018-07-09
1699280826 239 Legris Avenue Operations LLC Skilled Nursing Facility 3118 Quentin Rd, Brooklyn, NY 11234-4235 2017-12-11
1376058578 Yonkers Gardens, LLC Skilled Nursing Facility 115 S Broadway, Yonkers, NY 10701-4006 2017-12-10
1104355536 Massapequa Center LLC Skilled Nursing Facility 101 Louden Ave., Amityville, NY 11701 2017-06-08
Find all providers with the same taxonomy

Competitor

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City PLATTSBURGH
Zip Code 12901

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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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