ST LUKE ADHC (NPI# 1467534974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467534974 |
| Entity Type | Organization |
| Organization Name | ST LUKE ADHC |
| Practice Address |
299 E River Rd Oswego NY 13126-6400 |
| Practice Telephone | 3153423166 |
| Practice Fax Number | 3153436531 |
| Mailing Telephone | 3153423166 |
| Mailing Fax Number | 3153436531 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID W TRAVERS (CONTROLLER) |
| Authorized Official Telephone | 3153423166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01407538 | 05 |
| Street Address |
299 E RIVER RD |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659473502 | St. Luke Residential Health Care Facility, Inc. | Skilled Nursing Facility | 299 E River Rd, Oswego, NY 13126-6400 | 2006-09-02 |
| 1003315540 | Rachel Lynn Brooks | Physical Medicine & Rehabilitation | 299 E River Rd, Oswego, NY 13126-6400 | 2018-02-11 |
| 1457871386 | Brittany Elisabeth Palmer I | Physical Medicine & Rehabilitation | 299 E River Rd, Oswego, NY 13126-6400 | 2017-06-21 |
| 1689103301 | Jessica Ariel Wanke | Occupational Therapy Assistant | 299 E River Rd, Oswego, NY 13126-6400 | 2017-06-06 |
| 1598218836 | Kayla Nichol Hirst | Speech-Language Pathologist | 299 E River Rd, Oswego, NY 13126-6400 | 2016-08-03 |
| 1588961619 | Sungryul Kim | Physical Therapist | 299 E River Rd, St. Luke Health Services, Rehab Dept., Oswego, NY 13126-6400 | 2011-02-25 |
| 1265678304 | Bryant David Wilkinson | Occupational Therapist | 299 E River Rd, Oswego, NY 13126-6400 | 2008-12-19 |
| 1437304821 | Jennifer Lynn Vayner | Physical Therapy Assistant | 299 E River Rd, Oswego, NY 13126-6400 | 2008-11-26 |
| 1487731592 | St Luke Home Health Services | Home Health | 299 E River Rd, Oswego, NY 13126-6400 | 2006-11-01 |
| 1033206792 | Sandra Ford | Nurse Practitioner | 299 E River Rd, Oswego, NY 13126-6400 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902933799 | Seneca Hill Manor Adult Day Health Care | Clinic/Center | 20 Manor Dr, Oswego, NY 13126-6495 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699091 | Aging With Grace LLC | Clinic/Center | 690 Route 211 E, Middletown, NY 10941-1758 | 2020-11-04 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1578173415 | Access Initiative LLC | Clinic/Center | 64 E 111th St Apt 907, New York, NY 10029-2688 | 2020-08-05 |
| 1225648454 | Angelica's Angels LLC | Clinic/Center | 188 Riverside Dr, Fultonville, NY 12072-1825 | 2020-08-03 |
| 1255940052 | Good Faith Social Daycare | Clinic/Center | 1385 Bay St, Staten Island, NY 10305-3901 | 2020-07-28 |
| 1821618919 | Bnb Adult Daycare Corp | Clinic/Center | 15301 Northern Blvd Ste 1b, Flushing, NY 11354-5051 | 2020-04-20 |
| 1083246888 | Brightest Adult Day Care Center LLC | Clinic/Center | 667 61st St, Brooklyn, NY 11220-4123 | 2020-02-10 |
| 1952933947 | Unity Adult Daycare Inc | Clinic/Center | 16210 Highland Ave, Jamaica, NY 11432-3438 | 2020-02-07 |
| 1790317824 | Boston Road Care LLC | Clinic/Center | 1698 Boston Rd, Bronx, NY 10460-4948 | 2020-02-06 |
| 1679105738 | Mommy Social Adult Day Care, Inc. | Clinic/Center | 6151 Fresh Meadow Ln, Fresh Meadows, NY 11365-2018 | 2020-02-06 |
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| 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.