Elizabeth Brewster House

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ELIZABETH BREWSTER HOUSE

Practice address

41 S Main St
Homer, NY 13077-1394

Phone

(607) 749-2442

Fax

(607) 749-5862

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By 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. Michael Kilmer

Title

Executive Director

Phone

(607) 749-2442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1194442822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771394",
            "telephone_number": "607-749-2442",
            "fax_number": "607-749-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771394",
            "telephone_number": "607-749-2442",
            "fax_number": "607-749-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH BREWSTER HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "KILMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-749-2442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Marie Davis, MA/CAS
• Jodie Lynn Delage, LPN
• Department of Medicine Medical Service Group
• Jamie Lynn Driscoll, LCSW
• Heidi Jean Effinger, LCSW
• Cinthia Lisa Elkins, MD, PHD
• Family Health Network of Central New York, Inc.
• Family Health Network of Central New York, Inc. (Family Health Network Mobile Van)
• Family Health Network of Central New York, Inc.
• Theresa Ferris

• Adult Care Home Facility in Homer, NY
• Providers in Homer, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.