PRESBYTERIAN RESIDENTIAL COMMUNITY INC. NPI 1215033071

NPI Information

NPI: 1215033071
Provider Name: PRESBYTERIAN RESIDENTIAL COMMUNITY, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 33D2126428

Address:
4300 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 724-9300
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PRESBYTERIAN RESIDENTIAL COMMUNITY, INC. is an assisted living facility in New Hartford, NY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PRESBYTERIAN RESIDENTIAL COMMUNITY, INC. NPI is 1215033071. The provider is registered as an organization entity type.

The provider's business location address is:

4300 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
ZIP 13413-316
Phone: (315) 724-9300
Fax: (315) 724-7470

The provider's authorized official is Roxanne Cotter .
The authorized official title is Cfo and has the following contact phone number (315) 235-7120.

The CLIA number assigned to this NPI record is 33D2126428 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/8/2018.

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	310400000X	Assisted Living Facility		510E065	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	01445312	MEDICAID	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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