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UPSTATE CEREBRAL PALSY, INC
NPI 1922169911
Intermediate Care Facility, Intellectual Disabilities in Utica, NY

Active since December 13, 2006
1245 TILDEN AVE, UTICA, NY 13501(315) 724-6907(315) 733-0791 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2023, Oct 26, 2018 (2 updates tracked since 2018).

About Upstate Cerebral Palsy, Inc NPPES

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

UPSTATE CEREBRAL PALSY, INC (NPI 1922169911) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Utica, New York and active in the NPI registry since December 2006. The organization lists Geno Decondo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922169911
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameUPSTATE CEREBRAL PALSY, INC
Location Address1245 TILDEN AVEUtica, NY 13501-4100
Mailing Address125 Business Park DrUtica, NY 13502-6305 · (315) 724-6907 · Fax (315) 733-0791
Phone(315) 724-6907
Fax(315) 733-0791
Organization SubpartNo
Authorized OfficialGeno DecondoExecutive Director · (315) 724-6907
Enumeration DateDecember 13, 2006
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1922169911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NY · 01282053
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1245 TILDEN AVE, Utica, NY 13501
Open in Google Maps ↗

Other Identifiers 1

Medicaid01282053NY

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 Cerebral Palsy, Inc's NPI number?

The NPI number for Upstate Cerebral Palsy, Inc is 1922169911. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Upstate Cerebral Palsy, Inc located?

Upstate Cerebral Palsy, Inc is located at 1245 Tilden Ave, Utica, NY 13501. The listed phone number is (315) 724-6907.

What is Upstate Cerebral Palsy, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Upstate Cerebral Palsy, Inc was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.