ADIRONDACK MANOR HOME FOR ADULTS NPI 1538771597

NPI Information

  • NPI: 1538771597
  • Provider Name: ADIRONDACK MANOR HOME FOR ADULTS
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ADIRONDACK MANOR HOME CARE AGENCY
  • Address: 653 BAY RD
    QUEENSBURY, NY
    ZIP 12804
  • Phone: (718) 840-3355

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NPI Details

ADIRONDACK MANOR HOME FOR ADULTS is an assisted living facility in Queensbury, 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. ADIRONDACK MANOR HOME FOR ADULTS NPI is 1538771597. The provider is registered as an organization entity type.
The provider Is Doing Business As Adirondack Manor Home Care Agency.

The provider's business location address is:

653 BAY RD
QUEENSBURY, NY
ZIP 12804-446
Phone: (718) 840-3355
Fax: (518) 244-9105

The provider's authorized official is Jennifer Grajales .
The authorized official title is Project Manager/executive Assistant and has the following contact phone number (347) 988-4535.

The enumeration date for this NPI number is 8/20/2020 and was last updated on 11/12/2020.

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 FacilityYes
3311ZA0620XCustodial Care FacilityAdult Care HomeNo

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
10623L001OTHERNEW YORKLHCSA LICENSE NO.

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: 11/21/2025

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