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, NPI 1942205182

Skilled Nursing Facility in WATERLOO, NY

Last Updated on : May 30,2019

 , NPI 1942205182

About (NPI 1942205182)


is a Skilled Nursing Facility in WATERLOO, United States .

1942205182 is NPI number of .

's primary taxonomy code based on NPI Lookup is 314000000X with license number 4921303. This taxonomy code refers to Skilled Nursing Facility.

current practice location address is 200 DOUGLAS DR, WATERLOO, NY. can be reached out via phone at 315-539-9202 and via fax at 315-539-3495 .

You can also correspond with through mail at mailing address 740 EAST AVE, ROCHESTER, NY, United States. Mailing address contact number is 585-244-0410.

The enumeration date of is 15-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 5 years ago.

The authorized official of is ROBERT HURLBUT (Owner/Member). ROBERT HURLBUT can be reached at 5852440410.

1942205182 NPI Information

Basic NPI information of (NPI 1942205182) is provided below.

Name
National Provider Id (NPI) 1942205182
Entity Type Organization
Practice Address 200 DOUGLAS DR,
WATERLOO, NY, United States
Practice Telephone 315-539-9202
Practice Fax Number 315-539-3495
Mailing Address 740 EAST AVE ,
ROCHESTER, NY, United States
Mailing Telephone 585-244-0410
Mailing Fax Number 585-244-1208
Enumeration Date 15-Jun-2005
Last Updated Date 30-May-2019

(NPI 1942205182) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 314000000X Skilled Nursing Facility 4921303 NY

(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.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
00355651 MEDICAID (05) NY

(NPI 1942205182) Office Location

Office location of is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1225346893 1ST STEPS TO SUCCESS Community/Behavioral Health 909 WILLOW RD,
MATTESON, IL, United States
16-Sep-2010
1154806644 A BALANCED PERSPECTIVE COUNSELING LLC Social Worker, Clinical 1021 ROSEBERRY DR,
WATERLOO, IL, United States
01-Oct-2018
1669470282 A NEW IMAGE, INC. Durable Medical Equipment & Medical Supplies 1607 HEATH ST,
WATERLOO, IA, United States
08-Jul-2005
1881656734 A STEP AHEAD THERAPY CENTER, INC. Specialist 3606 KIMBALL AVE,
WATERLOO, IA, United States
05-Apr-2006
1205908514 ABCM CORPORATION Skilled Nursing Facility 1320 4TH ST NE,
HAMPTON, IA, United States
14-Nov-2006
1174525505 ABCM CORPORATION Skilled Nursing Facility 1320 4TH ST NE,
HAMPTON, IA, United States
15-Aug-2005
1982696126 ABCM CORPORATION Assisted Living Facility 1320 4TH ST NE,
HAMPTON, IA, United States
15-Aug-2005
1063498780 MOUIN S ABDALLAH Internal Medicine, Cardiovascular Disease 110 IRVING ST NW,
WASHINGTON, DC, United States
15-Dec-2005
1861041022 BRADLEY ABELL Rehabilitation Practitioner 988 N ILLINOIS ROUTE 3,
WATERLOO, IL, United States
10-Sep-2019
1497161830 SIDRAH ABID Internal Medicine 3421 W 9TH ST,
WATERLOO, IA, United States
07-Jul-2014
1710054994 ABLM NORTHEAST PROFESIONAL ASSOCIATION Dentist, General Practice 2116 LOGAN AVE,
WATERLOO, IA, United States
30-Nov-2006
1336428697 VICTOR ADAM ABRICH Internal Medicine 2710 SAINT FRANCIS DR, STE 320
WATERLOO, IA, United States
04-Aug-2011
1932633609 ACCESS EVALUATION AND EDUCATION SERVICES, L.L.C. Counselor, Addiction (Substance Use Disorder) 3640 CANTERBURY CT,
WATERLOO, IA, United States
19-Apr-2017
1588846190 ACCESS HEALTHCARE OF WATERLOO, LTD Chiropractor 742 N MARKET ST STE D, P.O. BOX 423
WATERLOO, IL, United States
05-Dec-2007
1225485097 ELIZABETH ACKERSON Nurse Practitioner 912 WESTERN AVE,
WATERLOO, IA, United States
20-May-2016
1730197799 ACTON OPTICAL, LLC Technician/Technologist, Optician 3628 KIMBALL AVE,
WATERLOO, IA, United States
04-Aug-2006
1528820255 ALEXIS M ADAMS Social Worker, Clinical 3251 W 9TH ST,
WATERLOO, IA, United States
29-Jan-2024
1861588055 JANICE L ADAMS Counselor, Mental Health 31 THURBER DR,
WATERLOO, NY, United States
05-Oct-2006
1902334725 JENNIFER JAE ADAMS Counselor, Mental Health 3362 UNIVERSITY AVE,
WATERLOO, IA, United States
24-May-2017
1164872735 MELISSA SUE ADAMS Social Worker, Clinical 3251 W 9TH ST,
WATERLOO, IA, United States
15-Jun-2016

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1942205182?

1942205182 is the NPI number of .

Where is located?

is located at 200 DOUGLAS DR, WATERLOO, NY.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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