Upstate Cerebral Palsy, Inc

LBN: Upstate Cerebral Palsy, Inc
Upstate Cerebral Palsy, Inc is an health care organization with primary practice located at 122 Brookley Road Crp #6, Rome NY 13341. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Upstate Cerebral Palsy, Inc can be contacted via phone (315) 533-1166, or through Decondo, Geno via phone (315) 927-2117.

Contact Information

Primary practice address
122 Brookley Road Crp #6 Rome NY 13341
Fax: (315) 533-1169
Website:
Authorized official contact:
Name: Decondo, Geno

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 02709328 New York

Profile Details

NPI number 1780745778
LBN Legal business name Upstate Cerebral Palsy, Inc
DBA Doing business as
Authorized official Decondo, Geno
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 5th, 2023 - about 2 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 1780745778 NPPES
New York MEDICAID 02709328

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