Guilderland LTC Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0155300N Issued in NY

Legal business name

GUILDERLAND LTC MANAGEMENT LLC

Practice address

127 Main St.
Guilderland Center, NY 12085

Phone

(518) 861-5141

Fax

(518) 861-6529

NPI assigned

Sep 16, 2005

Last updated

Nov 2, 2011By 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

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": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1013902972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9022",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "12309",
            "telephone_number": "518-382-2427",
            "fax_number": "518-382-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST.",
            "city": "GUILDERLAND CENTER",
            "state": "NY",
            "postal_code": "12085",
            "telephone_number": "518-861-5141",
            "fax_number": "518-861-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILDERLAND LTC MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-11-02",
        "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": "0155300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Avery
• Guilderland Center Rehabilitation & Extended Care Facility Op Co LLC
• Guilderland Central School District
• 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 Nov 2, 2011; 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.