Elmcrest Childrens Center

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

ELMCREST CHILDRENS CENTER

Practice address

228 Lafayette Rd
Syracuse, NY 13205-2921

Phone

(315) 492-9990

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John E Henley

Title

Executive Director

Phone

(315) 446-6250

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Casey's Place Other name

Tax ID family

Casey'S Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elmcrest Childrens Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Syracuse, NY
  • NPI 1417080292
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacia Schioppa, LCSW

  • Clinical Social Worker
  • Liverpool, NY
  • NPI 1649659129
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568595338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 SALT SPRINGS RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241639",
            "telephone_number": "315-446-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 LAFAYETTE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052921",
            "telephone_number": "315-492-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMCREST CHILDRENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-446-6250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02622306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casey's Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Markia Ellis
• Sarah A Ellithorpe, PT
• Brian Ellsworth
• Ruba Elmaoued, MD
• Elmcrest Childrens Center
• Robert Elmer
• Hassan Elnour, M.D.
• Sara Mamoun Eltahir Elnour, MBBS
• Mohamed Elrefaey, MBBCH
• Arwa Elsamny, MBBCH

• Child Intellectual and/or Developmental Disabilities Respite Care in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care 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.