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MOSES LUDINGTON NURSING HOME COMPANY INC NPI 1801889746


NPI Information

NPI: 1801889746
Provider Name: MOSES LUDINGTON NURSING HOME COMPANY, INC

Doing Business As: HERITAGE COMMONS RESIDENTIAL HEALTHCARE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
1019 WICKER ST
TICONDEROGA, NY
ZIP 12883
Phone: (518) 585-3700
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MOSES LUDINGTON NURSING HOME COMPANY, INC is a skilled nursing facility in Ticonderoga, NY. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. MOSES LUDINGTON NURSING HOME COMPANY, INC NPI is 1801889746. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Commons Residential Healthcare.

The provider's business location address is:

1019 WICKER ST
TICONDEROGA, NY
ZIP 12883-039
Phone: (518) 585-3700
Fax: (518) 585-2576

The provider's authorized official is Laura Tirado .
The authorized official title is Administrator and has the following contact phone number (518) 585-3800.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 12/7/2011.


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
1314000000XSkilled Nursing Facility1527300NEW 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
1000400518001OTHERNEW YORKBLUESHIELD NENY
2012427OTHERNEW YORKEMPIRE BLUE CROSS
300311115MEDICAIDNEW YORK
4335482MEDICARE ID-TYPE UNSPECIFIEDNEW YORKEMPIRE MEDICARE

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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