Senecalake Terrace

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

530-F-053 Issued in NY

Legal business name

SENECALAKE TERRACE

Practice address

3670 County Road 6
Geneva, NY 14456-9138

Phone

(315) 789-4162

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sue A Dec

Title

Office MGR

Phone

(315) 672-3790

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1225236003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 COUNTY ROAD 6",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569138",
            "telephone_number": "315-789-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 COUNTY ROAD 6",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569138",
            "telephone_number": "315-789-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECALAKE TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "DEC",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "315-672-3790",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "530-F-053",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01959420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doria A Scortichini, M.D., F.A.C.C.
• Kathryn Scoville, RN
• Seeds of Hope Mental Health Counseling Services, PLLC
• Kimberly Seidel
• Seneca Lake Terrace Operating, LLC
• Rafael Sezan, M.D.
• Shannon Blake
• Vattan Sharma, DDS
• Caitlin Sharman, M.S., ATC, PTA
• Melissa Sharp, LPN

• Assisted Living Facility in Geneva, NY
• Providers in Geneva, 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 Jul 13, 2007; 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.