Loretto Utica Residential Health Care Facility

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03A1629 Issued in NY

Legal business name

LORETTO UTICA RESIDENTIAL HEALTH CARE FACILITY

Practice address

1445 Kemble St
Utica, NY 13501-4441

Phone

(315) 732-0100

Fax

(315) 733-5718

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle Synokowski, ADMINISTRATOR

Title

Executive Diretor

Phone

(315) 732-0100

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1023162211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 KEMBLE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014441",
            "telephone_number": "315-732-0100",
            "fax_number": "315-733-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 KEMBLE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014441",
            "telephone_number": "315-732-0100",
            "fax_number": "315-733-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTO UTICA RESIDENTIAL HEALTH CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SYNOKOWSKI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRETOR",
        "authorized_official_telephone_number": "315-732-0100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "03A1629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640904",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Loomis
• Valerie E Lopata, PI
• Andy Lopez-Williams, PHD
• Loretto Utica Ctr Adhc
• Loretto Utica Properties Corporation
• Georgia Loughlin-Lozada
• Erin Loughlin
• Louis D. Rabice, D.D.S., P.C.
• Gerry A Love, MD
• Ernest Samuel Lowenkopf, CASAC-T, CRPA, CARC

• Skilled Nursing Facility in Utica, NY
• Providers in Utica, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.