Guilderland Center Rehabilitation & Extended Care Facility Op Co LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0155303N Issued in NY

Legal business name

GUILDERLAND CENTER REHABILITATION & EXTENDED CARE FACILITY OP CO LLC

Practice address

127 Main Street
428 RT. 146
Guilderland Center, NY 12085

Phone

(518) 382-2427

Fax

(518) 382-2429

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Christine E Sledziewski

Title

Controller

Phone

(518) 382-2427

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1013278746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MAIN ST.REET",
            "address_2": "428 RT. 146",
            "city": "GUILDERLAND CENTER",
            "state": "NY",
            "postal_code": "12085",
            "telephone_number": "518-861-5141",
            "fax_number": "518-861-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN STREET",
            "address_2": "428 RT. 146",
            "city": "GUILDERLAND CENTER",
            "state": "NY",
            "postal_code": "12085",
            "telephone_number": "518-382-2427",
            "fax_number": "518-382-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILDERLAND CENTER REHABILITATION & EXTENDED CARE FACILITY OP CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SLEDZIEWSKI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "518-382-2427",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0155303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003111133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Avery
• Guilderland Central School District
• Guilderland LTC Management LLC
• Louisa Lombardo, L.C.S.W.
• Maryellen Rudolph, LSLP
• Jeffrey Daniel Weisz, DC

• Skilled Nursing Facility in Guilderland Center, NY
• Providers in Guilderland Center, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.