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DAVID J WEGMAN NPI 1316066566


NPI Information

NPI: 1316066566
Provider Name: DAVID J WEGMAN

Doing Business As: HILTON EAST ASSISTED LIVING

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

CLIA Number: 33D2125640

Address:
231 EAST AVE
HILTON, NY
ZIP 14468
Phone: (585) 392-7171
Get Directions

DAVID J WEGMAN is an assisted living facility in Hilton, 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. DAVID J WEGMAN NPI is 1316066566. The provider is registered as an organization entity type.
The provider Is Doing Business As Hilton East Assisted Living.

The provider's business location address is:

231 EAST AVE
HILTON, NY
ZIP 14468-333
Phone: (585) 392-7171
Fax: (585) 392-3631

The provider's authorized official is Omar S Mohamed .
The authorized official title is Outsourced Controller and has the following contact phone number (585) 392-7171.

The CLIA number assigned to this NPI record is 33D2125640 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 12/14/2020.


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
1251E00000XHome HealthNo
2310400000XAssisted Living Facility370F208NEW YORKYes

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
101614539MEDICAIDNEW 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

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