Churchill Manor

LBN: Churchill Manor
Churchill Manor is an health care organization with primary practice located at 700 E Brighton Ave , Syracuse NY 13205-2201. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Churchill Manor can be contacted via phone (315) 492-1329, or through Johnson, Maria via phone (315) 413-3688.

Contact Information

Primary practice address
700 E Brighton Ave Syracuse NY 13205-2201
Phone: (315) 492-1329
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Maria
Phone: (315) 413-3688

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1851590830
LBN Legal business name Churchill Manor
DBA Doing business as
Authorized official Johnson, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated May 7th, 2008 - about 17 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 1851590830 NPPES
New York MEDICAID 01445252

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