Loretto Rest Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LORETTO REST INC

Practice address

417 Churchill Ave
Syracuse, NY 13205-2124

Phone

(314) 475-4388

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Maria Johnson

Title

Finance Rep

Phone

(315) 413-3688

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1821263161",
    "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": "417 CHURCHILL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052124",
            "telephone_number": "314-475-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTO REST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "FINANCE REP",
        "authorized_official_telephone_number": "315-413-3688"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01445192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Assisted Living Facility in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.