Provider Type Icon

MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE NPI 1710965124


NPI Information

NPI: 1710965124
Provider Name: MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE

Doing Business As: GENESIS HEALTHCARE OF NEW YORK

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
199 PRATT ST
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-0415
Get Directions

MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE is a home health in Watertown, NY. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE NPI is 1710965124. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Genesis Healthcare Of New York.

The provider's business location address is:

199 PRATT ST
WATERTOWN, NY
ZIP 13601-349
Phone: (315) 782-0415
Fax: (315) 786-0417

The provider's authorized official is Terri L Bray .
The authorized official title is Dps/administrator and has the following contact phone number (315) 782-0415.

The enumeration date for this NPI number is 1/5/2006 and was last updated on 10/2/2013.


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
12472R0900XTechnician, OtherRenal DialysisNo
2261QP2300XClinic/CenterPrimary CareNo
33104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
4251E00000XHome HealthYes

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
1337254OTHERTRICARE
2P014001500OTHERBC ROCHESTER
3=========OTHERCOMM
4332540MEDICARE ID-TYPE UNSPECIFIEDA
5337254MEDICARE ID-TYPE UNSPECIFIEDA
6113538582OTHERCOMM INS
7113538582OTHERCOMM
8=========OTHERTRICARE
952892AMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
1001226553MEDICAIDNEW YORK
11113538582OTHERTRICARE
12344246OTHERNEW YORKGHI VALUE OPTIONS
13C52892AOTHERNEW YORK1ST UNITED AMERICAN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.