Lutheran Social Services of Upstate New York, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC.

Doing business as

Warner Place Adult Day Care

Practice address

715 Falconer St
Jamestown, NY 14701-1935

Phone

(814) 665-8137

Fax

(814) 665-8132

NPI assigned

Jan 10, 2011

Organization subpart

Yes

Parent organization

LUTHERAN SOCIAL SERVICES GROUP, INC.As reported in NPPES

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

Authorized official

Name

Mr. Thomas E Holt

Title

Ceo

Phone

(716) 665-8137

Specialties & licenses 1

Addresses

Other names 1

• Warner Place Adult Day Care Doing business as

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1477857209",
    "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": "814-665-8137",
            "fax_number": "814-665-8132"
        },
        {
            "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": "814-665-8137",
            "fax_number": "814-665-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES GROUP, INC.",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-665-8137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warner Place Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Veronica Mack

• Adult Day Care Clinic/Center in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.