Organization Active NPI

Loretto Utica Ctr Adhc

  • Adult Day Care Clinic/Center
  • Utica, NY
National Provider Identifier
1164618500
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
3202313N Issued in NY
Legal business name
LORETTO UTICA CTR ADHC
Practice address
1445 Kemble St
Utica, NY 13501-4441
Phone
(315) 732-0100
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Ms. Michelle Synakowski, NHA
Title
Executive
Phone
(315) 732-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 3202313N NY Primary

Addresses

Primary practice location

1445 Kemble St
Utica, NY 13501-4441

Mailing address

1445 Kemble St
Utica, NY 13501-4441
Phone (315) 732-0100

Other identifiers 1

IdentifierTypeStateIssuer
01640913MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1164618500",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTO UTICA CTR ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "SYNAKOWSKI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "315-732-0100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "3202313N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.