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PINEVIEW COMMONS LLC NPI 1457438863


NPI Information

NPI: 1457438863
Provider Name: PINEVIEW COMMONS, LLC

Doing Business As: PINEVIEW COMMONS HOME FOR ADULTS

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
201 S MELCHER ST
JOHNSTOWN, NY
ZIP 12095
Phone: (518) 762-5488
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PINEVIEW COMMONS, LLC is an adult care home custodial care facility in Johnstown, NY. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PINEVIEW COMMONS, LLC NPI is 1457438863. The provider is registered as an organization entity type.
The provider Is Doing Business As Pineview Commons Home For Adults.

The provider's business location address is:

201 S MELCHER ST
JOHNSTOWN, NY
ZIP 12095-820
Phone: (518) 762-5488
Fax: (518) 762-5583

The provider's authorized official is Kara Volllmer .
The authorized official title is Administrator and has the following contact phone number (518) 762-5488.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 2/14/2008.


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
1311ZA0620XCustodial Care FacilityAdult Care Home280-F-034NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102205012MEDICAIDNEW YORK
201726998MEDICAIDNEW YORK
302066773MEDICAIDNEW 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: 4/28/2024

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