ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY NPI 1336289909

NPI Information

NPI: 1336289909
Provider Name: ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY

Other Name: ST. CAMILLUS ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
813 FAY RD
SYRACUSE, NY
ZIP 13219
Phone: (315) 488-2951
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ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY is an adult day care clinic center in Syracuse, NY. ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY NPI is 1336289909. The provider is registered as an organization entity type.
The provider Other Name Is St. Camillus Adult Day Care.

The provider's business location address is:

813 FAY RD
SYRACUSE, NY
ZIP 13219-009
Phone: (315) 488-2951
Fax: (315) 488-7734

The provider's authorized official is Michael Zingaro .
The authorized official title is Cfo and has the following contact phone number (315) 703-0646.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	3301321N	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00614764	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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