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TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP. NPI 1710024120


NPI Information

NPI: 1710024120
Provider Name: TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
733 EUCLID AVE
SYRACUSE, NY
ZIP 13210
Phone: (315) 424-1845
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TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP. is an intermediate care facility mentally retarded in Syracuse, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP. NPI is 1710024120. The provider is registered as an organization entity type.

The provider's business location address is:

733 EUCLID AVE
SYRACUSE, NY
ZIP 13210-538
Phone: (315) 424-1845
Fax: (315) 424-7567

The provider's authorized official is Judith A D'amore .
The authorized official title is Executive Director and has the following contact phone number (315) 424-1845.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/4/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities8686441NEW YORKNo
2315P00000XIntermediate Care Facility, Intellectual Disabilities8686440NEW YORKYes
3320800000XCommunity Based Residential Treatment Facility, Mental Illness8234430NEW YORKNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities8686443NEW YORKNo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities8686442NEW YORKNo
6171M00000XCase Manager/Care CoordinatorNEW YORKNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102353560MEDICAIDNEW YORK
202702541MEDICAIDNEW YORK
300853801MEDICAIDNEW YORK
400784721MEDICAIDNEW YORK
502004891MEDICAIDNEW YORK
600555817MEDICAIDNEW YORK
701309879MEDICAIDNEW YORK
801489830MEDICAIDNEW 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

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