Loretto Health and Rehabilitation Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LORETTO HEALTH AND REHABILITATION CENTER

Practice address

161 Intrepid LN
Syracuse, NY 13205-2548

Phone

(315) 474-1478

Fax

(314) 474-7413

NPI assigned

Aug 27, 2007

Organization subpart

Yes

Parent organization

LORETTO REHABILITAION CENTERAs reported in NPPES

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

Authorized official

Name

Maria Johnson

Title

Billing Supervisor

Phone

(315) 413-3688

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Loretto HLTH Rehab CNTR2 organizations share this tax ID, including this one

Part of

Loretto HLTH Rehab CNTR

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Daybreak on James

  • Adult Day Care Clinic/Center
  • Syracuse, NY
  • NPI 1821281486
  NPD tax ID

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1801089461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BRIGHTON AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-474-1478",
            "fax_number": "314-474-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTO HEALTH AND REHABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LORETTO REHABILITAION CENTER",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "315-413-3688"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00582554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretto
• Loretto Geriatric Community Residence
• Loretto Geriatric Community Residence
• Loretto Health and Rehab
• Loretto Health and Rehabilitation Center
• Loretto Rest Inc
• Loretto Rest Realty Corporation
• Lori Peppers, M.D., P.C.
• David D Losier, MD
• Melody Losier

• Adult Day Care Clinic/Center in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.