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UPSTATE PCA INSTITUTE
NPI 1215621586
In Home Supportive Care in Utica, NY

Active since June 08, 2023
1216 GRAY AVE, UTICA, NY 13502(315) 542-4209 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 6, 2026, Dec 14, 2024, Nov 15, 2024 and 3 more (6 updates tracked since 2023).

About Upstate Pca Institute NPPES

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

UPSTATE PCA INSTITUTE (NPI 1215621586) is a healthcare organization registered as an in home supportive care in Utica, New York and active in the NPI registry since June 2023. The organization lists Shannon Green, Md, as its authorized official.

NPPES Registry Identity

NPI1215621586
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameUPSTATE PCA INSTITUTE
Location Address1216 GRAY AVEUtica, NY 13502-3959
Mailing Address1216 Gray Ave Apt 2fUtica, NY 13502-3967 · (315) 864-0416 · Fax (270) 203-0587
Phone(315) 542-4209
Organization SubpartNo
Authorized OfficialShannon GreenMd · (315) 864-0416
Enumeration DateJune 8, 2023
Last NPPES UpdateJune 6, 20266 updates tracked since enumeration
NPPES CertifiedJune 6, 2026
✔ NPI 1215621586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
1216 GRAY AVE, Utica, NY 13502
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Other Names 1

Doing Business AsUpstate Pca Institute

Other Providers at the Same Location NPPES 2

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

SHANNON GREEN RCM MANAGEMENT
In Home Supportive Care
1216 GRAY AVE
UTICA, NY 13502
Oneida County (315) 542-4209
UPSTATE PCA INSTITUTE
Adult Companion
1216 GRAY AVE
UTICA, NY 13502
Oneida County (315) 542-4209

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 Upstate Pca Institute's NPI number?

The NPI number for Upstate Pca Institute is 1215621586. It was assigned to this organization in the NPPES registry on June 8, 2023.

Where is Upstate Pca Institute located?

Upstate Pca Institute is located at 1216 Gray Ave, Utica, NY 13502. The listed phone number is (315) 542-4209.

What is Upstate Pca Institute's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Upstate Pca Institute was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.