St. Camillus Tbi Waiver Services

LBN: St. Camillus Residential Health Care Facility
St. Camillus Tbi Waiver Services is an health care organization with primary practice located at 813 Fay Rd , Syracuse NY 13219-3009. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is the primary health care specialty. St. Camillus Residential Health Care Facility can be contacted via phone (315) 488-2951, or through Zingaro, Michael via phone (315) 703-0646.

Contact Information

Primary practice address
813 Fay Rd Syracuse NY 13219-3009
Phone: (315) 488-2951
Fax: (315) 488-7734
Website:
Map and Directions
Authorized official contact:
Name: Zingaro, Michael
Phone: (315) 703-0646

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X TBI00076 New York
Agencies / Community/Behavioral Health 251S00000X TBI00076 New York

Profile Details

NPI number 1053452656
LBN Legal business name St. Camillus Residential Health Care Facility
DBA Doing business as St. Camillus Tbi Waiver Services
Authorized official Zingaro, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Sep 19th, 2016 - about 8 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 1053452656 NPPES
New York MEDICAID 01585359

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