Faxton St. Luke's Healthcare

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

019988-1 Issued in NY

Legal business name

FAXTON ST. LUKE'S HEALTHCARE

Practice address

1676 Sunset Ave
Utica, NY 13502-5416

Phone

(315) 624-5455

NPI assigned

Jan 24, 2011

Organization subpart

No

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

Authorized official

Name

Janet L. Baker, MA, CCC-SLP

Title

Speech-Language Pathologist

Phone

(802) 338-1179

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 330048

Legal name

FAXTON - CHILDRENS HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Jan 1, 2000

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Mar 23, 1999

Beds

166

Ownership / control type

Other

Facility address

1676 Sunset Ave
Utica, NY 13502

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1780989640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-624-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-624-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAXTON ST. LUKE'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "802-338-1179",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NY",
            "license": "019988-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Farnum, MD
• Verne Franklin Faulkner
• Faxton St Lukes Healthcare
• Faxton St Lukes Healthcare
• Faxton St Lukes Healthcare
• Faxton-St. Lukes Healthcare (MVHS Inc)
• Faxton-Sunset St. Luke's Health Care Center Inc (Heritage Health Care Center)
• Fayez F. Chahfe, M.D.
• Fayez Fadi Chahfe
• Christina Celina Fearon, FNP

• Rehabilitation Hospital in Utica, NY
• Providers in Utica, NY by specialty
• Rehabilitation Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.