Ucrn LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

UCRN LLC

Practice address

1445 Kemble St
Utica, NY 13501-4441

Phone

(315) 732-0100

Fax

(315) 732-2342

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Joseph Zupnik

Title

Ceo

Phone

(315) 732-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Focus Rehabilitation at Utica ADC Other name

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1063765113",
    "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": "315-732-2342"
        },
        {
            "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": "315-732-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "ZUPNIK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-732-0100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focus Rehabilitation at Utica ADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mathew Joseph Ulahannan, M.D.
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• Debbie Jean Ultsch, CNO

• 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 Oct 25, 2012; 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.