NPIMap

Organization Active NPI

United Helpers Canton Nursing Home, Inc

  • Assisted Living Facility
  • Canton, NY
National Provider Identifier
1033448287
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
UNITED HELPERS CANTON NURSING HOME, INC
Doing business as
Maplewood Assisted Living
Practice address
205 State Street Rd
Canton, NY 13617-3302
Phone
(315) 386-4541
Fax
(315) 386-2131
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Mr. Todd Amo
Title
Administrator
Phone
(315) 386-4541

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1637L001 NY
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

205 State Street Rd
Canton, NY 13617-3302

Mailing address

205 State Street Rd
Canton, NY 13617-3302
Phone (315) 386-4541

Other identifiers 2

IdentifierTypeStateIssuer
630E008OtherNYLICENSE NUMBER
1637L001OtherNYLICENSE NUMBER

Other names 1

  • Maplewood Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Helpers Canton Nursing Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1033448287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 STATE STREET RD",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173302",
            "telephone_number": "315-386-4541",
            "fax_number": "315-386-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STATE STREET RD",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173302",
            "telephone_number": "315-386-4541",
            "fax_number": "315-386-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HELPERS CANTON NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "AMO",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-386-4541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1637L001",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "630E008",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1637L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.