Lutheran Home of Central New York

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

510-E-007 Issued in NY

Legal business name

LUTHERAN HOME OF CENTRAL NEW YORK

Practice address

108 Utica Rd
Clinton, NY 13323-1548

Phone

(315) 235-7142

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Kohl

Title

Administrator

Phone

(315) 235-7141

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1669551438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 UTICA RD",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231548",
            "telephone_number": "315-235-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 UTICA RD",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231548",
            "telephone_number": "315-235-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME OF CENTRAL NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "KOHL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-235-7141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "510-E-007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mareissa Lisowski
• Jennifer Liuzzi, R.PH.
• Nicole Logalbo
• Lora a. Abraham, LCSW, P.C.
• Joan Loughran
• Heather Lynch
• Lisa L Lynch
• Erin Macdonald
• Jeanmarie Maier
• Jessica Lee Main

• Adult Care Home Facility in Clinton, NY
• Providers in Clinton, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.