ST. CAMILLUS TBI WAIVER SERVICES
NPI 1053452656
Case Management in Syracuse, NY

Active since February 08, 2007CLIA 33D0670603 · Waiver
813 FAY RD, SYRACUSE, NY 13219(315) 488-2951(315) 488-7734 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Camillus Tbi Waiver Services NPPES

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

ST. CAMILLUS TBI WAIVER SERVICES (NPI 1053452656) is a healthcare organization registered as a case management in Syracuse, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michael Zingaro, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053452656
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY
Location Address813 FAY RDSyracuse, NY 13219-3009
Mailing Address813 Fay RdSyracuse, NY 13219-3009 · (315) 488-2951 · Fax (315) 488-7734
Fax(315) 488-7734
Organization SubpartNo
Authorized OfficialMichael ZingaroCfo · (315) 703-0646
Enumeration DateFebruary 8, 2007
Last NPPES UpdateSeptember 19, 2016
NPI 1053452656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
License Licensed in NY · TBI00076
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License TBI00076 (NY)
813 FAY RD, Syracuse, NY 13219

Other Names 1

Other NameSt. Camillus Tbi Waiver Services

Other Identifiers 1

Medicaid01585359NY

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 33D0670603

St Camillus Residential Health Care Facility · Syracuse, NY
Active · expires Mar 26, 2027
CLIA Number33D0670603
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Renante Ignacio
Laboratory Phone(315) 488-2951
Laboratory LocationSt Camillus Residential Health Care Facility813 Fay Road, Syracuse, NY 13219
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
813 FAY RD
SYRACUSE, NY 13219
Physical Therapy Assistant
813 FAY RD
SYRACUSE, NY 13219
Occupational Therapist
813 FAY RD
SYRACUSE, NY 13219
Registered Nurse (Community Health)
813 FAY RD
SYRACUSE, NY 13219
Respiratory Therapist, Registered
813 FAY RD
SYRACUSE, NY 13219
Occupational Therapist
813 FAY RD
SYRACUSE, NY 13219
Occupational Therapist
813 FAY RD
SYRACUSE, NY 13219
Registered Nurse
813 FAY RD
SYRACUSE, NY 13219

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. Camillus Residential Health Care Facility's NPI number?

The NPI number for St. Camillus Residential Health Care Facility is 1053452656. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as St. Camillus Tbi Waiver Services.

Where is St. Camillus Residential Health Care Facility located?

St. Camillus Residential Health Care Facility is located at 813 Fay Rd, Syracuse, NY 13219. The listed phone number is (315) 488-2951.

What is St. Camillus Residential Health Care Facility's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does St. Camillus Residential Health Care Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0670603) 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. Camillus Residential Health Care Facility was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.