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580 ORCHARD PARK ROAD OPERATING COMPANY LLC NPI 1275806978


NPI Information

NPI: 1275806978
Provider Name: 580 ORCHARD PARK ROAD OPERATING COMPANY LLC

Doing Business As: ELDERWOOD ASSISTED LIVING AT WEST SENECA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 33D2128295

Address:
580 ORCHARD PARK RD
WEST SENECA, NY
ZIP 14224
Phone: (716) 677-4242
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580 ORCHARD PARK ROAD OPERATING COMPANY LLC is an assisted living facility in West Seneca, 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. 580 ORCHARD PARK ROAD OPERATING COMPANY LLC NPI is 1275806978. The provider is registered as an organization entity type.
The provider Is Doing Business As Elderwood Assisted Living At West Seneca.

The provider's business location address is:

580 ORCHARD PARK RD
WEST SENECA, NY
ZIP 14224-600
Phone: (716) 677-4242

The provider's authorized official is Gregory B. Hook .
The authorized official title is Chief Compliance Officer and has the following contact phone number (908) 236-8712.

The CLIA number assigned to this NPI record is 33D2128295 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2012 and was last updated on 12/23/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

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: 4/28/2024

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