Active NPI
Toomey Residential and Community Services Corp.
- Intellectual Disabilities Intermediate Care Facility
- Syracuse, NY
National Provider Identifier
1710024120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 8686440
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00853801 | Medicaid | NY | |
| 02004891 | Medicaid | NY | |
| 02702541 | Medicaid | NY | |
| 01309879 | Medicaid | NY | |
| 00555817 | Medicaid | NY | |
| 00784721 | Medicaid | NY | |
| 02353560 | Medicaid | NY | |
| 01489830 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.