Organization Active NPI

St Josephs Rehabilitation Center, Inc

Doing business as St. Joseph's Addiction Treatment & Recovery Centers

  • Home Health Agency
  • Saranac Lake, NY
National Provider Identifier
1225768146
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST JOSEPHS REHABILITATION CENTER, INC
Doing business as
St. Joseph's Addiction Treatment & Recovery Centers
Practice address
159 Glenwood Dr
Saranac Lake, NY 12983-2385
Phone
(518) 891-3801
NPI assigned
Jun 14, 2022
Organization subpart
Yes
Parent organization
ST. JOSEPH'S REHABILITATION CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Robert Ross
Title
President/Ceo
Phone
(518) 891-3950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

159 Glenwood Dr
Saranac Lake, NY 12983-2385

Mailing address

PO Box 470
Saranac Lake, NY 12983-0470
Phone (518) 891-3950

Other names 1

  • St. Joseph's Addiction Treatment & Recovery Centers Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2162138St Joseph's Addiction Treatment and Recovery159 Glenwood Drive, Saranac Lake, NY 12983Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Josephs Rehabilitation Center Inc2 organizations share this tax ID, including this one
Part of
St Josephs Rehabilitation Center Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1225768146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129830470",
            "telephone_number": "518-891-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 GLENWOOD DR",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832385",
            "telephone_number": "518-891-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS REHABILITATION CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH'S REHABILITATION CENTER, INC.",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "518-891-3950"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Addiction Treatment & Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.