Upstate Cerebral Palsy, Inc in Utica - Intermediate Care Facility, Intellectual Disabilities
Upstate Cerebral Palsy, Inc - NPI 1790846780
Upstate Cerebral Palsy, Inc is a Intermediate Care Facility, Intellectual Disabilities in Utica, New York. Upstate Cerebral Palsy, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Upstate Cerebral Palsy, Inc is 1790846780. The last update date is 2023-04-05.
Upstate Cerebral Palsy, Inc's current location address is 1237 Tilden Ave, Utica, New York. You can contact this provider via phone number 3157989275 and fax number 3157349659. The mailing address for Upstate Cerebral Palsy, Inc is 1237 Tilden Ave, Utica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upstate Cerebral Palsy, Inc |
|---|---|
| Address | 1237 Tilden Ave, Utica, New York |
| Phone Number | 3157989275 |
| Fax Number | 3157349659 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Decondo Geno |
| Telephone Number | 3157246907 |
NPI Number Detail
| NPI Number | 1790846780 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2023-04-05 |
Provider Mailing Address Detail
| Address | 1237 Tilden Ave |
|---|---|
| City | Utica |
| State | New York (NY) |
| Post Code | 135014150 |
| Phone Number | 3157989275 |
| Fax Number | 3157349659 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 2007638 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2007638 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Upstate Cerebral Palsy, Inc?
The Upstate Cerebral Palsy, Inc has been issued the NPI (National Provider Identifier) 1790846780 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Upstate Cerebral Palsy, Inc is physically located?
The Upstate Cerebral Palsy, Inc is physically situated at the following address: 1237 Tilden Ave, Utica, NY, 135014150.
What is Upstate Cerebral Palsy, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Upstate Cerebral Palsy, Inc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790846780 to Upstate Cerebral Palsy, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1790846780 to Upstate Cerebral Palsy, Inc on 2006-12-13.
As of what date was the information pertaining to Upstate Cerebral Palsy, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Upstate Cerebral Palsy, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-04-05.