NPIMap

Organization Active NPI

Seneca Hill Manor Adult Day Health Care

  • Adult Day Care Clinic/Center
  • Oswego, NY
National Provider Identifier
1902933799
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
3702312N Issued in NY
Legal business name
SENECA HILL MANOR ADULT DAY HEALTH CARE
Practice address
20 Manor Dr
Oswego, NY 13126-6495
Phone
(315) 349-5300
Fax
(315) 349-5365
NPI assigned
Feb 27, 2007
Organization subpart
Yes
Parent organization
SENECA HILL MANOR INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Jason Santiago
Title
Administrator & Ceo
Phone
(315) 349-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 3702312N NY Primary

Addresses

Primary practice location

20 Manor Dr
Oswego, NY 13126-6495

Mailing address

20 Manor Dr
Oswego, NY 13126-6495
Phone (315) 349-5300

Other identifiers 1

IdentifierTypeStateIssuer
02069249MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Seneca Hill Manor Adult Day Health Care2 organizations share this tax ID, including this one
Part of
Seneca Hill Manor Adult Day Health Care

Other organizations with this tax ID 1

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

Locations

20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1902933799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MANOR DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266495",
            "telephone_number": "315-349-5300",
            "fax_number": "315-349-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MANOR DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266495",
            "telephone_number": "315-349-5300",
            "fax_number": "315-349-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA HILL MANOR ADULT DAY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA HILL MANOR INC",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ADMINISTRATOR & CEO",
        "authorized_official_telephone_number": "315-349-5300"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "3702312N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02069249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.