MEDICARE: MARTIN LUTHER NURSING HOME, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	3225301N	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518938893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN LUTHER NURSING HOME, INC.

Provider Business Mailing Address
First Line	:	110 UTICA RD
Second Line	:
City	:	CLINTON
State	:	NY
Zip	:	13323-1548
Country	:	US
Telephone Number	:	315-853-5515
Fax Number	:	315-853-2681

Provider Business Practice Location Address
First Line	:	110 UTICA RD
Second Line	:
City	:	CLINTON
State	:	NY
Zip	:	13323-1548
Country	:	US
Telephone Number	:	315-853-5515
Fax Number	:	315-853-2681

Authorized Official
Title or Position	:	ADMINISTRATOR - SKILLED FACILITIES
Name	:	MR. CHRISTOPHER DURR
Credential	:
Telephone Number	:	315-235-7180

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1174480024 — KATHERINE LUTHER RESIDENTIAL HEALTHCARE & REHABILITATION CENTER, INC
Practice Location Address:

110 UTICA RD
CLINTON, NY
13323-1548

Practice Phone: 315-235-7103
Practice Fax: 315-235-7200

1629049994 — KATHERINE LUTHER CORPORATION
Practice Location Address:

110 UTICA RD
CLINTON, NY
13323-1548

Practice Phone: 315-853-5515
Practice Fax: 315-853-2681

1669551438 — LUTHERAN HOME OF CENTRAL NEW YORK
Practice Location Address:

108 UTICA RD
CLINTON, NY
13323-1548

Practice Phone: 315-235-7142
Practice Fax:

1023188976 — KATHERINE LUTHER HEALTH CARE & REHABILITATION CENTER, INC
Practice Location Address:

110 UTICA RD
CLINTON, NY
13323-1548

Practice Phone: 315-853-5515
Practice Fax:

1710050695 — MARTIN LUTHER NURSING HOME, INC.
Practice Location Address:

110 UTICA RD
CLINTON, NY
13323-1548

Practice Phone: 315-853-5515
Practice Fax:

1215148739 — COMMUNITY MEDICAL SUPPLY INC
Practice Location Address:

108 UTICA RD
CLINTON, NY
13323-1548

Practice Phone: 315-853-6575
Practice Fax: 315-853-6587

Directions to “MARTIN LUTHER NURSING HOME, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.