CENTRAL NEW YORK ADULT HOMES INC NPI 1760883383

NPI Information

NPI: 1760883383
Provider Name: CENTRAL NEW YORK ADULT HOMES INC

Doing Business As: EVERGREEN HEIGHTS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
8939 OAKLAND ST
WEEDSPORT, NY
ZIP 13166
Phone: (315) 834-6142
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CENTRAL NEW YORK ADULT HOMES INC is an assisted living facility in Weedsport, 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. CENTRAL NEW YORK ADULT HOMES INC NPI is 1760883383. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Heights.

The provider's business location address is:

8939 OAKLAND ST
WEEDSPORT, NY
ZIP 13166-417
Phone: (315) 834-6142
Fax: (315) 834-8960

The provider's authorized official is Thomas Carlson .
The authorized official title is Executive Director and has the following contact phone number (315) 834-6142.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 9/15/2014.

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
1	310400000X	Assisted Living Facility		050-E-010	NEW YORK	Yes

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
1	050-E-010	OTHER	NEW YORK	NEW YORK STATE DEPARTMENT OF HEALTH OPERATING CERTIFICATE
2	AF0158B	OTHER	NEW YORK	FACILITY IDENTIFICATION NUMBER

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

NPI Synchronization or Removal

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