Healthcare Provider Details

I. General information

NPI: 1710024120
Provider Name (Legal Business Name): TOOMEY RESIDENTIAL AND COMMUNITY SERVICES CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 01/04/2020
Certification Date: 01/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 EUCLID AVE
SYRACUSE NY
13210-2538
US

IV. Provider business mailing address

1654 W ONONDAGA ST
SYRACUSE NY
13204-3310
US

V. Phone/Fax

Practice location:
  • Phone: 315-424-1845
  • Fax: 315-424-7567
Mailing address:
  • Phone: 315-424-1845
  • Fax: 315-424-7567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number8686440
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number8686441
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number8234430
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number8686442
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number8686443
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name: MRS. JUDITH A D'AMORE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 315-424-1845