Mount Loretto Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2850300N Issued in NY

Legal business name

MOUNT LORETTO NURSING HOME

Practice address

302 Swart Hill Rd
Amsterdam, NY 12010-7081

Phone

(518) 842-6790

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian D. Chamberlin

Title

Administrator

Phone

(518) 842-6790

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Presence Chicago Hospitals Network

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1194404251

  Member Of

  NPD member

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497810675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SWART HILL RD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107081",
            "telephone_number": "518-842-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SWART HILL RD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107081",
            "telephone_number": "518-842-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT LORETTO NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-842-6790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2850300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2850300N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montgomery County Office for Aging, Inc.
• Alfred John Morini Jr., DDS
• Chelsea Ann Morini, D.D.S.
• David Carter Morris, LCSW
• Lisa Noelle Morris, NP
• Lacy Ann Mulder, RPH
• Mehek Mumtaz
• Nadeem Choudhry Mumtaz, M.D.
• Christine Munn, MSPT
• Luc-Matthew Pangan Munoz, PT

• Skilled Nursing Facility in Amsterdam, NY
• Providers in Amsterdam, 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 Aug 22, 2020; 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.