Heritage Manor of Lockport

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

500-F-093 Issued in NY

Legal business name

HERITAGE MANOR OF LOCKPORT

Practice address

41 Lexington CT
Lockport, NY 14094-5365

Phone

(716) 433-7626

Fax

(716) 433-7769

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Louis John Stich

Title

Administrator

Phone

(716) 433-7626

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy A Butler, DPM

  • Podiatrist
  • East Amherst, NY
  • NPI 1518038504
  NPD (past)
• Margaret Ann Libby, M.D.

  • Family Medicine Physician
  • Lockport, NY
  • NPI 1235112822
  NPD (past)
• Michael J Merletti, DPM

  • Podiatrist
  • Niagara Falls, NY
  • NPI 1952377285
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1043481831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LEXINGTON CT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945365",
            "telephone_number": "716-433-7626",
            "fax_number": "716-433-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 LEXINGTON CT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945365",
            "telephone_number": "716-433-7626",
            "fax_number": "716-433-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MANOR OF LOCKPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "STICH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-433-7626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "500-F-093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Harrington, CRNA
• Lori A Haun, LCSW R
• Kim Hauptman
• David Glenn Heffler, MENTAL HEALTH COUNSE
• Melissa Diane Heffler, M.D.
• Susan Dorinda Hetrick, LMT, MLD
• Victoria Hickman, PHARMD
• Brandie Lynn Hill, CASAC-T
• Lauren Rae Hillman
• Robert Wayne Hodge, M.D.

• Adult Care Home Facility in Lockport, NY
• Providers in Lockport, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.