Faxton-Sunset St. Luke's Health Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3202314N Issued in NY

Legal business name

FAXTON-SUNSET ST. LUKE'S HEALTH CARE CENTER INC

Doing business as

Heritage Health Care Center

Practice address

1657 Sunset Ave
Utica, NY 13502-5415

Phone

(315) 797-7392

Fax

(315) 797-8267

NPI assigned

Sep 21, 2006

Last updated

Sep 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles A Lewis

Title

Administrator

Phone

(315) 797-7392

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Health Care Center Doing business as

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1730288549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025415",
            "telephone_number": "315-797-7392",
            "fax_number": "315-797-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025415",
            "telephone_number": "315-797-7392",
            "fax_number": "315-797-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAXTON-SUNSET ST. LUKE'S HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-797-7392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3202314N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faxton St Lukes Healthcare
• Faxton St Lukes Healthcare
• Faxton St Lukes Healthcare
• Faxton St. Luke's Healthcare
• Faxton-St. Lukes Healthcare (MVHS Inc)
• Fayez F. Chahfe, M.D.
• Fayez Fadi Chahfe
• Christina Celina Fearon, FNP
• Kenton R Fehlner, RN
• Marc A Feiner, M.D.

• Skilled Nursing Facility in Utica, NY
• Providers in Utica, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.