MARILYN JANE LATES LPN NPI 1205017902

NPI Information

NPI: 1205017902
Provider Name: MARILYN JANE LATES, LPN
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Individual

Specialization: Nursing Care, Pediatric

Address:
88 E MAIN ST
HORNELL, NY
ZIP 14843
Phone: (607) 324-5602
Get Directions

Marilyn Jane Lates, LPN is a nursing care and pediatric skilled nursing facility in Hornell, NY. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. Marilyn Jane Lates, LPN NPI is 1205017902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

88 E MAIN ST
HORNELL, NY
ZIP 14843-074
Phone: (607) 324-5602

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	188151-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02714863	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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