Organization Active NPI

Regency Senior Living Alp

  • Assisted Living Facility
  • Westbury, NY
National Provider Identifier
1104954296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
400-F-295 Issued in NY
Legal business name
REGENCY SENIOR LIVING ALP
Practice address
3400 Brush Hollow Rd
Westbury, NY 11590-1712
Phone
(516) 334-3838
Fax
(516) 334-3866
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Raphael Weiss
Title
Administrator
Phone
(516) 334-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 400-F-295 NY Primary

Addresses

Primary practice location

3400 Brush Hollow Rd
Westbury, NY 11590-1712

Mailing address

3400 Brush Hollow Rd
Westbury, NY 11590-1712
Phone (516) 334-3838

Other identifiers 1

IdentifierTypeStateIssuer
02228980MedicaidNY

Other names 1

  • Amber Court Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2197402Amber Court of Westbury 11 LLC Alcove3400 Brush Hollow Rd, Westbury, NY 11590Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104954296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BRUSH HOLLOW RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901712",
            "telephone_number": "516-334-3838",
            "fax_number": "516-334-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BRUSH HOLLOW RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901712",
            "telephone_number": "516-334-3838",
            "fax_number": "516-334-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY SENIOR LIVING ALP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-334-3838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "400-F-295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02228980",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amber Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

  • 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.
  • 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.