Upstate Pca Institute

Organization Active NPI Home Health Aide · Utica, NY

NPI 1831916600 · NPPES record last updated Sep 24, 2024

Key facts

NPI
1831916600
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Aide 374U00000X
Legal business name
UPSTATE PCA INSTITUTE
Practice address
1216 Gray Ave Apt 2F
Utica, NY 13502-3967
Phone
(315) 542-4209
NPI assigned
Sep 24, 2024
Organization subpart
No

Authorized official

Name
Shannon Green, HHA
Title
Suporvisor/Manager
Phone
(315) 542-4209

Corporate family (same tax ID) 2

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

National Provider Directory

Tax ID family
Upstate Pca Institute (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide
Group: 193400000X SINGLE SPECIALTY GROUP
374U00000X Yes

Addresses

Primary practice location

1216 Gray Ave Apt 2F
Utica, NY 13502-3967

Mailing address

1216 Gray Ave Apt 2F
Utica, NY 13502-3967
Phone (315) 542-4209

Other providers in Utica, NY

All providers in Utica, NY · Home Health Aide in New York

Sources for this page

Verify at the official NPI Registry.