Organization Active NPI

St. Joseph Nursing Home Co. of Utica

  • Skilled Nursing Facility
  • Utica, NY
National Provider Identifier
1952355380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3202310N Issued in NY
Legal business name
ST. JOSEPH NURSING HOME CO. OF UTICA
Doing business as
St. Joseph Nursing Home
Practice address
2535 Genesee St
Utica, NY 13501-6251
Phone
(315) 797-1230
Fax
(315) 797-5171
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank Trimboli
Title
Administrator
Phone
(315) 797-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3202310N NY Primary

Addresses

Primary practice location

2535 Genesee St
Utica, NY 13501-6251

Mailing address

2535 Genesee St
Utica, NY 13501-6251
Phone (315) 797-1230

Other identifiers 1

IdentifierTypeStateIssuer
00474391MedicaidNY

Other names 1

  • St. Joseph Nursing Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Nursing Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952355380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016251",
            "telephone_number": "315-797-1230",
            "fax_number": "315-797-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016251",
            "telephone_number": "315-797-1230",
            "fax_number": "315-797-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH NURSING HOME CO. OF UTICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIMBOLI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-797-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3202310N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474391",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.