MVHS REHABILITATION AND NURSING CENTER – NPI #1568550325
Clinic/Center

MVHS REHABILITATION AND NURSING CENTER is an AHC clinic located in UTICA, NY. NPPES has assigned the NPI number 1568550325 to MVHS REHABILITATION AND NURSING CENTER on October 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MVHS REHABILITATION AND NURSING CENTER” is a dba name, the actual legal business name for this organization is ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY INC. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 2 years ago on May 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MVHS REHABILITATION AND NURSING CENTER below.

NPI Profile for
ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY INC

NPI Number
1568550325
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY INC
Doing Business As (dba): MVHS REHABILITATION AND NURSING CENTER
Primary location
1650 CHAMPLIN AVE.
UTICA, NY 13502
Phone: (315) 624-8600 Fax: (315) 624-5152
Mailing address
2209 GENESEE ST/ BUSINESS OFFICE
ROOM #315
UTICA, NY 13501-5809
Phone: (315) 801-3282 Fax:
Organization Subpart
Yes - MVHS REHABILITATION AND NURSING CENTER is subpart of another organization.
Authorized Official
CODY WHITE
REVENUE CYCLE DIRECTOR
Phone: (315) 801-4429
Updated
Certification Date
May 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MVHS REHABILITATION AND NURSING CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY02779720
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.