Vivian Teal Howard Residential Facility

LBN: Castle Rest Nursing Home
Vivian Teal Howard Residential Facility is an health care organization with primary practice located at 116 E Castle St , Syracuse NY 13205-1110. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Castle Rest Nursing Home can be contacted via phone (315) 475-1641, or through Otoole, Louise via phone (315) 475-1641.

Contact Information

Primary practice address
116 E Castle St Syracuse NY 13205-1110
Phone: (315) 475-1641
Fax: (315) 478-0688
Website:
Map and Directions
Authorized official contact:
Name: Otoole, Louise
Phone: (315) 475-1641

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3301326N New York

Profile Details

NPI number 1023091840
LBN Legal business name Castle Rest Nursing Home
DBA Doing business as Vivian Teal Howard Residential Facility
Authorized official Otoole, Louise
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2005
Last updated Sep 10th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023091840 NPPES
New York MEDICAID 01992130
New York MEDICAID 00474415

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