Organization Active NPI

Toomey Residential and Community Services Corp.

  • Intellectual Disabilities Intermediate Care Facility
  • Syracuse, NY
National Provider Identifier
1710024120
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
8686440 Issued in NY
Legal business name
TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP.
Practice address
733 Euclid Ave
Syracuse, NY 13210-2538
Phone
(315) 424-1845
Fax
(315) 424-7567
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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

Authorized official

Name
Mrs. Judith A D'Amore
Title
Executive Director
Phone
(315) 424-1845

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X NY
Intellectual Disabilities Intermediate Care Facility 315P00000X 8686440 NY Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X 8686441 NY
Mental Illness Community Based Residential Treatment Facility 320800000X 8234430 NY
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 8686442 NY
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 8686443 NY

Addresses

Primary practice location

733 Euclid Ave
Syracuse, NY 13210-2538

Mailing address

1654 W Onondaga St
Syracuse, NY 13204-3310
Phone (315) 424-1845

Other identifiers 8

IdentifierTypeStateIssuer
00853801MedicaidNY
02004891MedicaidNY
02702541MedicaidNY
01309879MedicaidNY
00555817MedicaidNY
00784721MedicaidNY
02353560MedicaidNY
01489830MedicaidNY

National Provider Directory

National Provider Directory

Locations

1654 W Onondaga St
Syracuse, NY 13204
Phone (315) 424-1800

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1710024120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 W ONONDAGA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132043310",
            "telephone_number": "315-424-1845",
            "fax_number": "315-424-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 EUCLID AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102538",
            "telephone_number": "315-424-1845",
            "fax_number": "315-424-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "D'AMORE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-424-1845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "8686440",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "8686441",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "8234430",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "8686442",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "8686443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00853801",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02004891",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02702541",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01309879",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00555817",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00784721",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02353560",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01489830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.