CHURCHILL MANOR
NPI 1851590830
Assisted Living Facility in Syracuse, NY
About Churchill Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHURCHILL MANOR (NPI 1851590830) is a healthcare organization registered as an assisted living facility in Syracuse, New York and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Maria Johnson, Billing Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 33D2130757
Churchill Manor · Syracuse, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13205
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 Churchill Manor's NPI number?
The NPI number for Churchill Manor is 1851590830. It was assigned to this organization in the NPPES registry on July 11, 2007.
Where is Churchill Manor located?
Churchill Manor is located at 700 E Brighton Ave, Syracuse, NY 13205. The listed phone number is (315) 492-1329.
What is Churchill Manor's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Churchill Manor hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2130757) 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 Churchill Manor was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Churchill Manor · NPI 1851590830
Assisted Living Facility organization in Syracuse, New York. Organization record, active in the CMS NPPES registry since July 11, 2007.
## Identity
- **NPI:** 1851590830 (Entity type: Organization)
- **Enumerated:** July 11, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Maria Johnson, BILLING SUPERVISOR
## Practice location
- **Address:** 700 E BRIGHTON AVE, Syracuse, NY 13205-2201
- **Phone:** (315) 492-1329
## Record status
- **NPPES last updated:** May 7, 2008
- **Other identifiers:** Medicaid 01445252 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851590830) · Data from the CMS NPPES public registry.