Niagara Geriatric Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3102310N Issued in NY

Legal business name

NIAGARA GERIATRIC CENTER

Doing business as

Niagara Rehabiliation and Nursing Center

Practice address

822 Cedar Ave
Niagara Falls, NY 14301-1136

Phone

(716) 282-1207

Fax

(716) 282-4088

NPI assigned

May 27, 2005

Last updated

Jan 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Schobert, ADM

Title

Administrator

Phone

(716) 282-1207

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Niagara Rehabiliation and Nursing Center Doing business as

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1003819590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 CEDAR AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011136",
            "telephone_number": "716-282-1207",
            "fax_number": "716-282-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 CEDAR AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011136",
            "telephone_number": "716-282-1207",
            "fax_number": "716-282-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA GERIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SCHOBERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-282-1207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADM"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3102310N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "D6",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030097501",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000330000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niagara Rehabiliation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Niagara Falls, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.