ST LUKE HOME HEALTH SERVICES - NPI 1487731592

Q: What is the provider's specialty?

The provider's specialty is Home Health with taxonomy code 251E00000X.

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About St Luke Home Health Services NPPES

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

ST LUKE HOME HEALTH SERVICES (NPI 1487731592) is a healthcare organization registered as a home health in Oswego, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists David W Travers, Controller, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1487731592

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameST LUKE HOME HEALTH SERVICES

Location Address299 E RIVER RDOswego, NY 13126-6400

Mailing Address299 E River RdOswego, NY 13126-6400 · (315) 342-3166 · Fax (315) 343-6531

Phone(315) 342-3166

Fax(315) 343-6531

Organization SubpartNo

Authorized OfficialDavid W TraversController · (315) 342-3166

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1487731592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

299 E RIVER RD, Oswego, NY 13126

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Other Identifiers 1

Other0804L001NY · License Number

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 33D0892589
Facility Type: Skilled Nursing Facility/Nursing Facility
Certificate Effective Date: October 03, 1994
Certificate Expiration Date: March 26, 2027
Laboratory Director: DR. RENANTE IGNACIO
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to St Luke Home Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.