Active NPI
St Josephs Rehabilitation Center, Inc
Doing business as St. Joseph's Addiction Treatment & Recovery Centers
- Home Health Agency
- Saranac Lake, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2162138 | St Joseph's Addiction Treatment and Recovery | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- St Josephs Rehabilitation Center Inc
- 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.
-
dba St Josephs Addiction Treatment & Recovery Centers
- Rehabilitation Hospital
- Saranac Lake, NY
- NPI 1629172762
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Saranac Lake, NY
- NPI 1790432094
-
- Physician Assistant
- Saranac Lake, NY
- NPI 1245479476
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
- Maryalice P Smith, RN
- Nathan A Smith, PA
- Ann Elizabeth Snow, RN
- Steven James Sonnenberg, MD
- Sharon A Sorgule, MNT
- St Josephs Rehabilitation Center, Inc (St Josephs Addiction Treatment & Recovery Centers)
- Glenn Edward Stearns
- Stephanie Dell'Aquila Stevens, LCSW
- Deborah Ann Stevens, LPN
- Stephanie Dell'Aquila Stevens, MSW
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.