UPSTATE CEREBRAL PALSY, INC (NPI# 1780745778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780745778 |
| Entity Type | Organization |
| Organization Name | UPSTATE CEREBRAL PALSY, INC |
| Practice Address |
122 Brookley Road Crp #6 Rome NY 13341 |
| Mailing Address |
1020 Mary St Utica NY 13501-1930 |
| Practice Telephone | 3155331166 |
| Practice Fax Number | 3155331169 |
| Mailing Telephone | 3157246907 |
| Mailing Fax Number | 3157330791 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | GENO DECONDO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3159272117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 02709328 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02709328 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659432656 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 320 Niagara St, Utica, NY 13501-1012 | 2006-12-13 |
| 1790846780 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 1237 Tilden Ave, Dimeo Residence, Utica, NY 13501-4150 | 2006-12-13 |
| 1922169911 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 1245 Tilden Ave, Utica, NY 13501-4100 | 2006-12-13 |
| 1871654863 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 120 Brookley Road, Crp #5, Rome, NY 13341 | 2006-12-13 |
| 1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
| 1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
| 1508926528 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 1247 Tilden Ave, Utica, NY 13501-4100 | 2006-12-11 |
| 1689991341 | Upstate Cerebral Palsy, Inc | Early Intervention Provider Agency | 1020 Mary St, Utica, NY 13501-1930 | 2010-04-21 |
| 1649426214 | Upstate Cerebral Palsy, Inc | Community Based Residential Treatment Facility, Mental Illness | 1020 Mary St, Utica, NY 13501-1930 | 2008-08-14 |
| 1538387204 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 1020 Mary St, Utica, NY 13501-1930 | 2007-04-20 |
| Street Address |
122 BROOKLEY ROAD CRP #6 |
| City | ROME |
| State | NY |
| Zip Code | 13341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245721489 | Amanda Kay Krzemien | Social Worker | 125 Brookley Road Syracuse Department of Veterans Affai, Suite 1204, Rome, NY 13341 | 2018-05-23 |
| 1871654863 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 120 Brookley Road, Crp #5, Rome, NY 13341 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021796 | Vida Lynn Martin | Respite Care | 5969 Us Highway 6, Rome, OH 44085-9672 | 2020-10-24 |
| 1871190561 | Brian Tye | Speech-Language Pathologist | 1168 Chulio Rd Se, Rome, GA 30161-4084 | 2020-10-06 |
| 1821605551 | Hannah Joy Hopkins | Physical Therapy Assistant | 600 Redmond Rd Nw Apt B6, Rome, GA 30165-1434 | 2020-09-27 |
| 1366059396 | Cedar Dental Clinical I, LLC | Dentist | 18 Riverbend Dr Sw Ste 230, Rome, GA 30161-6019 | 2020-09-24 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1255946976 | Lisa Kaelin | Social Worker | 1513 Craig St, Rome, NY 13440-2305 | 2020-09-10 |
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| Find all providers in ROME | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851442784 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 92 Geiger Road, Rome, NY 13441-4319 | 2007-01-16 |
| 1871654863 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 120 Brookley Road, Crp #5, Rome, NY 13341 | 2006-12-13 |
| 1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
| 1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
| 1922148238 | State of New York | Intermediate Care Facility, Mentally Retarded | 801 Cypress St, Rome, NY 13440-2129 | 2007-02-07 |
| 1437223914 | Nw Ga Regional Hospital Icf Mr | Intermediate Care Facility, Mentally Retarded | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762665 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 260 W 8th St, Elmira Heights, NY 14903-1502 | 2020-05-21 |
| 1518580851 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 525 Liberty St, Elmira, NY 14904-1517 | 2020-05-21 |
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1538666052 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 95 Seymour Lane, Westmoreland, NY 13490 | 2018-04-11 |
| 1457857716 | Nysarc, Inc. Cattaraugus-niagara County Chapter | Intermediate Care Facility, Mentally Retarded | 6821 Saunders Settlement Rd, Sanborn, NY 14132-9440 | 2018-04-04 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1962959403 | Linda Burgess | Intermediate Care Facility, Mentally Retarded | 35 E 8th Ave, Gloversville, NY 12078-2229 | 2016-09-01 |
| 1154774727 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 525 W 149th St, New York, NY 10031-3402 | 2016-07-19 |
| Find all providers with the same taxonomy | ||||
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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.