KATHERINE LUTHER RESIDENTIAL HEALTHCARE & REHABILITATION CENTER, INC - NPI 1477754802

Q: What is Katherine Luther Residential Healthcare & Rehabilitation Center, Inc's specialty?

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

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About Katherine Luther Residential Healthcare & Rehabilitation Center, Inc NPPES

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

KATHERINE LUTHER RESIDENTIAL HEALTHCARE & REHABILITATION CENTER, INC (NPI 1477754802) is a healthcare organization registered as a skilled nursing facility in Clinton, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Andrew Peterson, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1477754802

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameKATHERINE LUTHER RESIDENTIAL HEALTHCARE & REHABILITATION CENTER, INC

Location Address110 UTICA RDClinton, NY 13323-1548

Mailing Address110 Utica RdClinton, NY 13323-1548 · (315) 853-5515 · Fax (315) 853-4025

Phone(315) 853-5515

Fax(315) 853-4025

Organization SubpartNo

Authorized OfficialAndrew PetersonPresident And Ceo · (315) 235-7101

Enumeration DateMay 31, 2007

Last NPPES UpdateJanuary 2, 2026

NPPES CertifiedJanuary 2, 2026

✔ NPI 1477754802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

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.

110 UTICA RD, Clinton, NY 13323

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Other Identifiers 1

Medicaid00311413NY

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 33D0167434

Katherine Luther Residential Health Care & Rehabilitation Center Inc · Clinton, NY

Active · expires Mar 26, 2027

CLIA Number33D0167434

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 2, 2018

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Hamerton D. Jeanty

Laboratory Phone(315) 853-5515

Laboratory LocationKatherine Luther Residential Health Care & Rehabilitation Center Inc110 Utica Rd, Clinton, NY 13323

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

KATHERINE LUTHER HEALTH CARE & REHABILITATION CENTER, INC

Non-emergency Medical Transport (VAN)