Odd Fellow and Rebekah Rehabilitation and Health Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3101305N Issued in NY

Legal business name

ODD FELLOW AND REBEKAH REHABILITATION AND HEALTH CARE CENTER

Practice address

104 Old Niagara Rd
Lockport, NY 14094-1500

Phone

(716) 434-6324

Fax

(716) 434-4020

NPI assigned

Mar 12, 2007

Last updated

Aug 10, 2015By 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

Mrs. Darlene Sue Dicarlo

Title

Director of Finance

Phone

(716) 434-6324

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1194857292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OLD NIAGARA RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941500",
            "telephone_number": "716-434-6324",
            "fax_number": "716-434-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OLD NIAGARA RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941500",
            "telephone_number": "716-434-6324",
            "fax_number": "716-434-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODD FELLOW AND REBEKAH REHABILITATION AND HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "DICARLO",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "716-434-6324",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3101305N",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NY",
            "license": "3101305N",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Nye, LMT
• Andrea M O'Connor, MS.SPEDU/ASL
• Kimberly A O'Dell, MSED
• Jillian Allessi O'Donnell, M.S. CCC/SLP
• Obot Asuquo Obot, REGISTERED NURSE
• Heather Watt Odum, LMHC
• Katherine Ann Olson, PHARMD
• Emma Ormsby, OTR/L
• Judith Anne Ornella
• Dawn Ostolski, N.P.

• Skilled Nursing Facility in Lockport, NY
• Providers in Lockport, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.