Organization Active NPI

Auburn Agt,LLC

Doing business as Auburn Nursing Home

  • Skilled Nursing Facility
  • Auburn, NY
National Provider Identifier
1124015664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AUBURN AGT,LLC
Doing business as
Auburn Nursing Home
Practice address
85 Thornton Ave
Auburn, NY 13021-4654
Phone
(315) 253-7351
Fax
(315) 253-0300
NPI assigned
Sep 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Karol Prayne
Title
Administrator
Phone
(315) 253-7351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

85 Thornton Ave
Auburn, NY 13021-4654

Mailing address

85 Thornton Ave
Auburn, NY 13021-4654
Phone (315) 253-7351

Other names 1

  • Auburn Nursing Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Auburn Agtllc2 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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124015664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 THORNTON AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214654",
            "telephone_number": "315-253-7351",
            "fax_number": "315-253-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 THORNTON AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214654",
            "telephone_number": "315-253-7351",
            "fax_number": "315-253-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN AGT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRAYNE",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-253-7351",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.