Active NPI
Wells Nursing Home Inc.
- Adult Day Care Clinic/Center
- Johnstown, NY
National Provider Identifier
1154475093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 1702300N
- Legal business name
- WELLS NURSING HOME INC.
- Practice address
- 201 W Madison Ave
Adult Day Health Care
Johnstown, NY 12095-2806 - Phone
- (518) 736-1373
- Fax
- (518) 736-1570
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Neal E. Vanslyke
- Title
- Administrator
- Phone
- (518) 762-4546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 1702300N | NY | Primary |
Addresses
Primary practice location
201 W Madison Ave
Adult Day Health Care
Johnstown, NY 12095-2806
Mailing address
201 W Madison Ave
Adult Day Health Care
Johnstown, NY 12095-2806
Phone (518) 736-1373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V528A8P-5351 | Other | NY | VA |
| 01592098 | Medicaid | NY |
Other names 1
- The Wells House ADHC
National Provider Directory
National Provider Directory- Tax ID family
- Wells Nursing Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Johnstown, NY
- NPI 1518010875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154475093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W MADISON AVE",
"address_2": "ADULT DAY HEALTH CARE",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120952806",
"telephone_number": "518-736-1373",
"fax_number": "518-736-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MADISON AVE",
"address_2": "ADULT DAY HEALTH CARE",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120952806",
"telephone_number": "518-736-1373",
"fax_number": "518-736-1570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLS NURSING HOME INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VANSLYKE",
"authorized_official_first_name": "NEAL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "518-762-4546",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NY",
"license": "1702300N",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA",
"identifier": "V528A8P-5351",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01592098",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Wells House ADHC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Johnstown, 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.