Active NPI
Katherine Luther Corporation
- Skilled Nursing Facility
- Clinton, NY
National Provider Identifier
1629049994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3225302N
- Legal business name
- KATHERINE LUTHER CORPORATION
- Practice address
- 110 Utica Rd
Clinton, NY 13323-1548 - Phone
- (315) 853-5515
- Fax
- (315) 853-2681
- NPI assigned
- Jan 27, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher Durr
- Title
- Administrator-Skilled Facilities
- Phone
- (315) 235-7180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3225302N | NY | Primary |
Addresses
Primary practice location
110 Utica Rd
Clinton, NY 13323-1548
Mailing address
110 Utica Rd
Clinton, NY 13323-1548
Phone (315) 853-5515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00311413 | Medicaid | NY |
Other names 1
- Lutheran Care Ministries Network
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629049994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 UTICA RD",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231548",
"telephone_number": "315-853-5515",
"fax_number": "315-853-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 UTICA RD",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231548",
"telephone_number": "315-853-5515",
"fax_number": "315-853-2681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHERINE LUTHER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DURR",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "ADMINISTRATOR-SKILLED FACILITIES",
"authorized_official_telephone_number": "315-235-7180",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "3225302N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00311413",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lutheran Care Ministries Network",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clinton, NY
- Lisa Kaelin, LCSW-R
- Vigneswaran Kandiah, MD
- Tabitha Kane
- Donna R Kapes, LCSWR
- Jessica M Kast, RPA-C
- Katherine Luther Health Care & Rehabilitation Center, Inc
- Katherine Luther Residential Healthcare & Rehabilitation Center, Inc
- Katherine Luther Residential Healthcare & Rehabilitation Center, Inc
- Alysa Keady
- Alice Kenly, LMT, LLCC
Sources for this page
- 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.