Organization Active NPI

Heathwood Health Care Center, Inc.

  • Skilled Nursing Facility
  • Williamsville, NY
National Provider Identifier
1003818618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1451302N Issued in NY
Legal business name
HEATHWOOD HEALTH CARE CENTER, INC.
Practice address
815 Hopkins Rd
Williamsville, NY 14221-2320
Phone
(716) 688-0111
Fax
(716) 688-7266
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Darlene Gale
Title
Director of Accounts Receivable
Phone
(716) 633-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1451302N NY Primary

Addresses

Primary practice location

815 Hopkins Rd
Williamsville, NY 14221-2320

Mailing address

815 Hopkins Rd
Williamsville, NY 14221-2320
Phone (716) 688-0111

Other identifiers 1

IdentifierTypeStateIssuer
00475269MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003818618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212320",
            "telephone_number": "716-688-0111",
            "fax_number": "716-688-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212320",
            "telephone_number": "716-688-0111",
            "fax_number": "716-688-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHWOOD HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "716-633-0021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1451302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.