LOTT ASSISTED LIVING RESIDENCE NPI 1629250378

NPI Information

  • NPI: 1629250378
  • Provider Name: LOTT ASSISTED LIVING RESIDENCE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Former Legal Business Name: DESALES ASSISTED LIVING
  • Address: 1261 5TH AVE
    NEW YORK, NY
    ZIP 10029
  • Phone: (212) 534-6464

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NPI Details

LOTT ASSISTED LIVING RESIDENCE is an assisted living facility in New York, 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. LOTT ASSISTED LIVING RESIDENCE NPI is 1629250378. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Desales Assisted Living.

The provider's business location address is:

1261 5TH AVE
NEW YORK, NY
ZIP 10029-822
Phone: (212) 534-6464

The provider's authorized official is James F. Janeski .
The authorized official title is President & C.e.o. and has the following contact phone number 12125346464.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 12/4/2007.

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
1310400000XAssisted Living Facility420S378NEW 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
102073976MEDICAIDNEW 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: 11/21/2025

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