Organization Active NPI

Umh JGJ Corp

  • Skilled Nursing Facility
  • Johnson City, NY
National Provider Identifier
1366472052
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0303306N Issued in NY
Legal business name
UMH JGJ CORP
Practice address
286 Deyo Hill Rd
Johnson City, NY 13790-5110
Phone
(607) 798-1002
Fax
(607) 798-9382
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Mr. Brian Picchini
Title
President & Ceo
Phone
(607) 775-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0303306N NY Primary

Addresses

Primary practice location

286 Deyo Hill Rd
Johnson City, NY 13790-5110

Mailing address

286 Deyo Hill Rd
Johnson City, NY 13790-5110
Phone (607) 798-1002

Other identifiers 1

IdentifierTypeStateIssuer
00864324MedicaidNY

Other names 1

  • United Methodist Homes 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
33D2045391United Methodist Homes Hilltop Manor West286 Deyo Hill Road, Johnson City, NY 13790Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

286 Deyo Hill Rd
Johnson City, NY 13790
Phone (607) 798-1002

Practitioners & affiliated clinicians

Practitioners 3

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1366472052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 DEYO HILL RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137905110",
            "telephone_number": "607-798-1002",
            "fax_number": "607-798-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 DEYO HILL RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137905110",
            "telephone_number": "607-798-1002",
            "fax_number": "607-798-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMH JGJ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "PICCHINI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "607-775-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0303306N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00864324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Methodist Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.