St. Camillus Residential Health Care Facility

LBN: St. Camillus Residential Health Care Facility
St. Camillus Residential Health Care Facility is an health care organization with primary practice located at 813 Fay Rd , Syracuse NY 13219-3009. 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. St. Camillus Residential Health Care Facility can be contacted via phone (315) 488-2951, or through Weir, Maria via phone (315) 703-0648.

Contact Information

Primary practice address
813 Fay Rd Syracuse NY 13219-3009
Fax: (315) 488-7734
Website:
Authorized official contact:
Name: Weir, Maria

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3301321N New York

Profile Details

NPI number 1659396943
LBN Legal business name St. Camillus Residential Health Care Facility
DBA Doing business as St. Camillus Residential Health Care Facility
Authorized official Weir, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 30th, 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 1659396943 NPPES
New York MEDICAID 00474479

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