Founders Pavilion

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

207QG0300X Issued in NY

Legal business name

FOUNDERS PAVILION

Practice address

205 E 1St St
Corning, NY 14830-2809

Phone

(607) 654-2407

NPI assigned

Dec 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Debera J. Randall

Title

Business Office Representive

Phone

(607) 654-2407

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1023095767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302809",
            "telephone_number": "607-654-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302809",
            "telephone_number": "607-654-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDERS PAVILION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "DEBERA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BUSINESS OFFICE REPRESENTIVE",
        "authorized_official_telephone_number": "607-654-2407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "207QG0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01811994",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara B. Fitzsimmons
• Emma Flynt, LMSW
• Christine Marie Forsyth, MS
• Eileen Margaret Foster, R.P.A.C.
• Robin Foster, PH.D.
• Founders Pavilion, Inc.
• Diione Fox-Murch, LMSW
• Kayla Foxen
• Daniel J. Fracchia, PAC
• Laura Funk, DC

• Skilled Nursing Facility in Corning, NY
• Providers in Corning, 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 Jul 29, 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.