Grace Manor Health Care Facility Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRACE MANOR HEALTH CARE FACILITY INC.

Practice address

10 Symphony Cir
Buffalo, NY 14201-1339

Phone

(716) 884-2474

Fax

(716) 881-1470

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Ferraro

Title

Administrator

Phone

(716) 884-2474

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093865388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SYMPHONY CIR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011339",
            "telephone_number": "716-884-2474",
            "fax_number": "716-881-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SYMPHONY CIR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011339",
            "telephone_number": "716-884-2474",
            "fax_number": "716-881-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MANOR HEALTH CARE FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRARO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-884-2474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Gozdziak, LPN
• Anita Eva Gozdzialski, LMHC
• Daren Grabowski
• Amber Grabp
• Gabrielle Graca, PHARMD
• Jeffery Jerome Grace, M.D.
• Mary Grace, RD
• Thomas Grace
• Tatanisha D Grady, LMSW
• Deborah S Graf, PA

• Skilled Nursing Facility in Buffalo, NY
• Providers in Buffalo, 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 Aug 22, 2020; 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.