44 Ball Street Operating Company LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

44 BALL STREET OPERATING COMPANY LLC

Doing business as

Elderwood Assisted Living at Waverly

Practice address

44 Ball St
Waverly, NY 14892-1200

Phone

(607) 565-6329

NPI assigned

Feb 12, 2012

Last updated

Dec 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory B. Hook

Title

Chief Compliance Officer

Phone

(908) 236-8712

Specialties & licenses 1

Addresses

Other names 1

• Elderwood Assisted Living at Waverly Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1184997884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE",
            "address_2": "31ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "908-236-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BALL ST",
            "city": "WAVERLY",
            "state": "NY",
            "postal_code": "148921200",
            "telephone_number": "607-565-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "44 BALL STREET OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-12",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "HOOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "908-236-8712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderwood Assisted Living at Waverly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 37 North Chemung Street Operating Company LLC (Elderwood at Waverly)
• 37 North Chemung Street Operating Company, LLC (Elderwood at Waverly)
• Emily Kramer Abbinanti, MS CCC-SLP
• Stephanie Corin Ayers, COTA/L
• Wendy Bellis, RN
• Amy Kathryn Brown, DPT
• Lori Ann Buffone, PTA

• Assisted Living Facility in Waverly, NY
• Providers in Waverly, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.