NPIMap

Organization Active NPI

Schofield Residence Inc.

  • Home Health Agency
  • Kenmore, NY
National Provider Identifier
1154535540
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1404904L Issued in NY
Legal business name
SCHOFIELD RESIDENCE INC.
Doing business as
Schofield Residence - LTHHCP ADAP
Practice address
2757 Elmwood Ave
Kenmore, NY 14217-1609
Phone
(716) 874-2600
Fax
(716) 873-2265
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Mr. Randy Gerlach
Title
President
Phone
(716) 874-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1404904L NY Primary

Addresses

Primary practice location

2757 Elmwood Ave
Kenmore, NY 14217-1609

Mailing address

3333 Elmwood Ave
Kenmore, NY 14217-1013
Phone (716) 874-1566

Other identifiers 1

IdentifierTypeStateIssuer
0000238OtherNYNEW YORK STATE DOH

Other names 1

  • Schofield Residence - LTHHCP ADAP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Schofield Residence Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1154535540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171013",
            "telephone_number": "716-874-1566",
            "fax_number": "716-874-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171609",
            "telephone_number": "716-874-2600",
            "fax_number": "716-873-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOFIELD RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-874-1566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1404904L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DOH",
            "identifier": "0000238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schofield Residence - LTHHCP ADAP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schofield Residence - LTHHCP ADAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.