UPSTATE CEREBRAL PALSY, INC. (NPI# 1932260932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932260932 |
| Entity Type | Organization |
| Organization Name | UPSTATE CEREBRAL PALSY, INC. |
| Practice Address |
2382 Bleecker St Frankfort NY 13340-4811 |
| Mailing Address |
1020 Mary St Utica NY 13501-1930 |
| Practice Telephone | 3157351993 |
| Practice Fax Number | 3157351963 |
| Mailing Telephone | 3157246907 |
| Mailing Fax Number | 3157330791 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | GENO DECONDO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3159272092 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 01295954 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01295954 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538666052 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 95 Seymour Lane, Westmoreland, NY 13490 | 2018-04-11 |
| 1720374093 | Upstate Cerebral Palsy, Inc. | Case Management | 336 E State St, Herkimer, NY 13350-2026 | 2011-06-24 |
| 1851442784 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 92 Geiger Road, Rome, NY 13441-4319 | 2007-01-16 |
| 1649624941 | Upstate Cerebral Palsy, Inc. | Clinic/Center | 10708 N Gage Rd, Barneveld, NY 13304-2527 | 2016-04-22 |
| 1124345889 | Upstate Cerebral Palsy, Inc. | Early Intervention Provider Agency | 1020 Mary St, Utica, NY 13501-1930 | 2010-04-21 |
| 1215098207 | Upstate Cerebral Palsy, Inc. | Clinic/Center | 1427 Genesee St, Utica, NY 13501-4343 | 2006-12-13 |
| 1578623617 | Upstate Cerebral Palsy, Inc. | Clinic/Center | 1020 Mary St, Utica, NY 13501-1930 | 2006-12-11 |
| Street Address |
2382 BLEECKER ST |
| City | FRANKFORT |
| State | NY |
| Zip Code | 13340-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465883 | Rachel Elizabeth Petkovsek | Physical Therapy Assistant | 325 Fifth Avenue, Frankfort, NY 13340 | 2017-09-06 |
| 1689079428 | Dominique Carcone | Occupational Therapist | 207 Wildwood Ridge, Frankfort, NY 13340 | 2014-10-22 |
| 1033492400 | Debra Ann Lusiak | Physical Therapist | 112 Hillcrest Rd, Frankfort, NY 13340 | 2011-09-22 |
| 1235418054 | Mary T. Hotaling | Physical Therapist | 120 Elizabeth Street, Frankfort, NY 13340 | 2011-08-10 |
| 1245860568 | Teresa Lynn Bouchard | Specialist | 325 Fifth Avenue, Frankfort, NY 13340 | 2020-01-26 |
| 1730650318 | Melissa M Naegele | Occupational Therapist | 120 Elizabeth Street, Frankfort, NY 13340 | 2018-12-08 |
| 1821512336 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 133 E Main St, Frankfort, NY 13340 | 2017-07-27 |
| 1326339003 | Alicia M Rocker | Licensed Practical Nurse | 248 W Main St, Left, Frankfort, NY 13340 | 2011-04-28 |
| 1336258813 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 133 East Main Street, Frankfort, NY 13340-1133 | 2006-08-29 |
| 1689272908 | Kristen Lara Kiesow | Licensed Practical Nurse | 131 E Main St, Frankfort, NY 13340-1133 | 2020-10-09 |
| Find all providers in zip 13340 | ||||
| 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 |
|---|---|---|---|---|
| 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.