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ST. JOHNSVILLE REHABILITATION AND NURSING CENTER INC
NPI 1740287770
Skilled Nursing Facility in St Johnsville, NY

Active since July 06, 2005CLIA 33D0663406 · Waiver
7 TIMMERMAN AVE, ST JOHNSVILLE, NY 13452(518) 568-5037(518) 568-5477 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Johnsville Rehabilitation And Nursing Center Inc NPPES

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

ST. JOHNSVILLE REHABILITATION AND NURSING CENTER INC (NPI 1740287770) is a healthcare organization registered as a skilled nursing facility in St Johnsville, New York and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michele A Dygert, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1740287770
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST. JOHNSVILLE REHABILITATION AND NURSING CENTER INC
Location Address7 TIMMERMAN AVESt Johnsville, NY 13452-1017
Mailing Address7 Timmerman AveSt Johnsville, NY 13452-1017 · (518) 568-5037 · Fax (518) 568-5477
Phone(518) 568-5037
Fax(518) 568-5477
Organization SubpartNo
Authorized OfficialMichele A DygertDirector Of Finance · (518) 568-5037
Enumeration DateJuly 6, 2005
Last NPPES UpdateMay 4, 2015
✔ NPI 1740287770 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 · 2828300N
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.
7 TIMMERMAN AVE, St Johnsville, NY 13452
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Other Identifiers 2

Medicare OSCAR/certification335704001NY
Medicaid01131093NY

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 33D0663406

St Johnsville Rehabilitation & Nursing Center LLC · Saint Johnsville, NY
Active · expires Mar 26, 2027
CLIA Number33D0663406
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Elizabeth M. Cooley
Laboratory Phone(518) 568-5037
Laboratory LocationSt Johnsville Rehabilitation & Nursing Center LLC7 Timmerman Ave, Saint Johnsville, NY 13452
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DEBORAH ANNE LUCE
Occupational Therapist
7 TIMMERMAN AVE
ST JOHNSVILLE, NY 13452
Montgomery County (518) 568-5037
RICHARD WHITE DPT
Physical Therapist
7 TIMMERMAN AVE
ST JOHNSVILLE, NY 13452
Montgomery County (518) 568-5037
ELIZABETH KAYE MOORE
Physical Therapist
7 TIMMERMAN AVE
SAINT JOHNSVILLE, NY 13452
Montgomery County (518) 568-5037
EMILY CHRISMAN
Physical Therapist
7 TIMMERMAN AVE
ST JOHNSVILLE, NY 13452
Montgomery County (518) 568-5037
MRS. RACHAEL ANN FAULKNER DPT
Physical Therapist
7 TIMMERMAN AVE
ST JOHNSVILLE, NY 13452
Montgomery County (518) 568-5037
FAY GUILLEGUITAN
Physical Medicine & Rehabilitation
7 TIMMERMAN AVE
ST JOHNSVILLE, NY 13452
Montgomery County (518) 568-5037
THERAPY SPECIALISTS, PLLC
Physical Therapist
7 TIMMERMAN AVE
ST JOHNSVILLE, NY 13452
Montgomery County (518) 568-5037
MARK JOSEPH VILLANUEVA GAMBOA
Physical Therapist
7 TIMMERMAN AVE
ST JOHNSVILLE, NY 13452
Montgomery County (518) 568-5037

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. Johnsville Rehabilitation And Nursing Center Inc's NPI number?

The NPI number for St. Johnsville Rehabilitation And Nursing Center Inc is 1740287770. It was assigned to this organization in the NPPES registry on July 6, 2005.

Where is St. Johnsville Rehabilitation And Nursing Center Inc located?

St. Johnsville Rehabilitation And Nursing Center Inc is located at 7 Timmerman Ave, St Johnsville, NY 13452. The listed phone number is (518) 568-5037.

What is St. Johnsville Rehabilitation And Nursing Center Inc's specialty?

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

Does St. Johnsville Rehabilitation And Nursing Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0663406) 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. Johnsville Rehabilitation And Nursing Center Inc was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.