MVHS REHABILITATION AND NURSING CENTER
NPI 1003904863
Skilled Nursing Facility in Utica, NY

Active since October 10, 2006CLIA 33D2047026 · Waiver
1650 CHAMPLIN AVE, UTICA, NY 13502(315) 624-8600 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2022, Apr 13, 2021, Apr 9, 2021 and 2 more (5 updates tracked since 2017).

About Mvhs Rehabilitation And Nursing Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MVHS REHABILITATION AND NURSING CENTER (NPI 1003904863) is a healthcare organization registered as a skilled nursing facility in Utica, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Cody White, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003904863
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY INC
Location Address1650 CHAMPLIN AVEUtica, NY 13502
Mailing Address2209 Genesee St Ofc Room315Utica, NY 13501-5930 · (315) 801-3282 · Fax (315) 801-8391
Organization SubpartNo
Authorized OfficialCody WhiteExecutive Director · (315) 801-4429
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 27, 20225 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1003904863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NY · 3227305N
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1650 CHAMPLIN AVE, Utica, NY 13502

Other Names 1

Doing Business AsMvhs Rehabilitation And Nursing Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2047026

Mvhs Rehabilitation - Nursing Center · Utica, NY
Active · expires Mar 26, 2027
CLIA Number33D2047026
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 17, 2012
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Muzaffar N. Khan
Laboratory Phone(518) 624-8600
Laboratory LocationMvhs Rehabilitation - Nursing Center1650 Champlin Ave, Utica, NY 13502
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1650 CHAMPLIN AVE
UTICA, NY 13502
Registered Nurse (Home Health)
1650 CHAMPLIN AVE
UTICA, NY 13502
Registered Nurse (Community Health)
1650 CHAMPLIN AVE
UTICA, NY 13502
Home Health
1650 CHAMPLIN AVE
UTICA, NY 13502
Occupational Therapist
1650 CHAMPLIN AVE
UTICA, NY 13502
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1650 CHAMPLIN AVE
UTICA, NY 13502
Registered Nurse (Home Health)
1650 CHAMPLIN AVE
UTICA, NY 13502
Physical Medicine & Rehabilitation
1650 CHAMPLIN AVE
UTICA, NY 13502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Luke's Home Residential Healthcare Facility Inc's NPI number?

The NPI number for St Luke's Home Residential Healthcare Facility Inc is 1003904863. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Mvhs Rehabilitation And Nursing Center.

Where is St Luke's Home Residential Healthcare Facility Inc located?

St Luke's Home Residential Healthcare Facility Inc is located at 1650 Champlin Ave, Utica, NY 13502. The listed phone number is (315) 624-8600.

What is St Luke's Home Residential Healthcare Facility Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does St Luke's Home Residential Healthcare Facility Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2047026) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Luke's Home Residential Healthcare Facility Inc was last updated on July 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.