CHURCHILL MANOR


Address: 700 E Brighton Ave, Syracuse, NY 13205-2201
Phone: 3154921329

CHURCHILL MANOR (NPI# 1851590830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851590830
Entity Type Organization
Organization Name CHURCHILL MANOR
Practice Address 700 E Brighton Ave
Syracuse
NY 13205-2201
Mailing Address 750 E Brighton Ave
Syracuse
NY 13205-2201
Practice Telephone 3154921329
Mailing Telephone 3154921329
Enumeration Date 2007-07-11
Last Update Date 2008-05-07
Authorized Official Name MARIA JOHNSON (BILLING SUPERVISOR)
Authorized Official Telephone 3154133688
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 01445252 05

Office Location

Street Address 700 E BRIGHTON AVE
City SYRACUSE
State NY
Zip Code 13205-2201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588650873 Loretto Health and Rehabilitation Center Skilled Nursing Facility 700 E Brighton Ave, Syracuse, NY 13205-2201 2005-09-22
1083263313 Erica L Iannello Occupational Therapist 700 E Brighton Ave, Syracuse, NY 13205-2201 2019-09-09
1891272613 Jada Cheyene Spiceland Occupational Therapy Assistant 700 E Brighton Ave, Syracuse, NY 13205-2201 2018-07-24
1376086504 Carrie Meghan Raymond Nurse Practitioner 700 E Brighton Ave, Syracuse, NY 13205-2201 2016-11-20
1326596826 Mary Joan Weinheimer Nurse Practitioner 700 E Brighton Ave, Syracuse, NY 13205-2201 2016-09-14
1225581523 Loretto Health and Rehab Skilled Nursing Facility 700 E Brighton Ave, Syracuse, NY 13205-2201 2016-08-03
1083926802 Amanda Sue Lois Physician Assistant 700 E Brighton Ave, Syracuse, NY 13205-2201 2010-07-09
1437307766 Loretto Health Support, LLC Durable Medical Equipment & Medical Supplies 700 E Brighton Ave, Syracuse, NY 13205-2201 2008-08-28
1275790818 Loretto Skilled Nursing Facility 700 E Brighton Ave, Syracuse, NY 13205-2201 2008-05-21
1710168489 Tina Elaine Lynch Occupational Therapist 700 E Brighton Ave, Syracuse, NY 13205 2007-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710473707 Michelle E Case Social Worker 2610 S Salina St Ste 2, Syracuse, NY 13205 2018-07-02
1104332022 Gregory Ramsden Chiropractor 182 Intrepid Ln Ste B, Syracuse, NY 13205 2017-12-15
1619379286 Hope for Us Housing, Inc Home Health 5957 South Salina St, Syracuse, NY 13205 2014-09-25
1861822116 Michael Lee Loudner Registered Nurse 4842 Broad Rd, Syracuse, NY 13205 2013-11-24
1285987537 Teeatta Owens Licensed Practical Nurse 114 Mcclure Ave, Syracuse, NY 13205 2012-10-24
1891082533 Kamaloshini Poovalingam Student in an Organized Health Care Education/Training Program 211 Lafayette Road, 604, Syracuse, NY 13205 2011-07-01
1730483348 Kenneth E. Hoogs Md PC Urology 100 Intrepid Lane, Syracuse, NY 13205 2010-12-23
1699092361 Central Park Nursing Care 4905 S Salina St., Syracuse, NY 13205 2010-04-21
1215170741 Toni Ramele Moore Licensed Practical Nurse 614 W. Seneca Turnpike, Syracuse, NY 13205 2009-04-14
1851536080 Shalanda Cherrise Sutton Licensed Practical Nurse 228 W. Lafayette Rd, Syracuse, NY 13205 2008-12-02
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124552666 Purple Chair Holdings LLC Assisted Living Facility 1155 W 3150 S, Syracuse, UT 84075-9094 2017-04-11
1750775235 Syracuse Assisted Living Phase I Assisted Living Facility 2063 W. 1900 S., Syracuse, UT 84075 2015-03-24
1821263161 Loretto Rest Inc Assisted Living Facility 417 Churchill Ave, Syracuse, NY 13205-2124 2008-04-28
1497897391 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 1720 Linden St, Syracuse, NE 68446-9797 2007-02-14
1578756136 Seneca Heights Corporation Assisted Living Facility 700 E Brighton Ave, Syracuse, NY 13205-2201 2007-08-27
1124055629 Hamilton County Hospital Assisted Living Facility 700 North Huser, Syracuse, KS 67878-0948 2006-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457950966 Kim One Family Type Homes for Adults Assisted Living Facility 361 California Ave, Uniondale, NY 11553-1857 2020-10-26
1992310395 Gasna Aladin Assisted Living Facility 39 Irving St, Valley Stream, NY 11580-1634 2020-09-11
1104442839 Icc Management & Consulting, Inc Assisted Living Facility 11 S Union St, Cambridge, NY 12816-1008 2020-06-18
1366067738 Fountainview At College Rd Assisted Living Facility 2000 Fountainview Dr, Monsey, NY 10952-2875 2020-06-11
1831734367 The Sentinel of Port Jervis Assisted Living Facility 2247 Greenville Tpke, Port Jervis, NY 12771-3216 2019-11-07
1871135525 Heather Hieghts of Pittsford Assisted Living Facility 160 W Jefferson Rd, Pittsford, NY 14534-1802 2019-10-15
1306499884 Olean Manor Inc Assisted Living Facility 3260 N 7th St, Allegany, NY 14706-9532 2019-07-23
1053879791 The Mohawk Homestead Assisted Living Facility 62 E. Main St., Mohawk, NY 13407 2019-03-12
1366907644 Rebekah Rehab Assisted Living Program, Inc. Assisted Living Facility 1050 Havemeyer Ave, Bronx, NY 10462 2019-01-31
1699274290 Rtacf LLC Assisted Living Facility 1 Buntline Dr, Stamford, NY 12167-1203 2018-02-08
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Competitor

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City SYRACUSE
Zip Code 13205

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Dataset Information

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.

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