Lutheran Social Services of Upstate New York, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0602308ZN Issued in NY

Legal business name

LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC.

Practice address

715 Falconer St
Jamestown, NY 14701-1935

Phone

(716) 665-4905

Fax

(716) 665-8132

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Melissa Nurmi

Title

Billing Supervisor

Phone

(716) 665-8028

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1235116286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FALCONER ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147011935",
            "telephone_number": "716-665-4905",
            "fax_number": "716-665-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FALCONER ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147011935",
            "telephone_number": "716-665-4905",
            "fax_number": "716-665-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "NURMI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "716-665-8028"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0602308ZN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla D Lukasiewicz-O'Brien, COTA
• Ashley Marie Lundmark
• Benjamin B Luong, M.D.
• Sara Virginia Luther, RN
• Lutheran Housing Realty Inc
• Lutheran Social Services of Upstate New York, Inc.
• Madeline Lynch, FNP-C
• Cody Constance Lyons
• Myles Joseph Lyons Jr.
• Dawn Maberry

• Skilled Nursing Facility in Jamestown, NY
• Providers in Jamestown, 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 6, 2014; 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.