Organization Active NPI

Allstate Homecare of Buffalo, Inc

  • Home Health Agency
  • Williamsville, NY
National Provider Identifier
1235344714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0240L001 Issued in NY
Legal business name
ALLSTATE HOMECARE OF BUFFALO, INC
Practice address
6490 Main St
Suite 4
Williamsville, NY 14221-5853
Phone
(716) 565-3626
Fax
(716) 565-3631
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sheila Bernard
Title
Ceo & President
Phone
(716) 565-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0240L001 NY Primary

Addresses

Primary practice location

6490 Main St
Suite 4
Williamsville, NY 14221-5853

Mailing address

6490 Main St
PO Box 1561
Williamsville, NY 14231-5853
Phone (716) 565-3626

Other identifiers 2

IdentifierTypeStateIssuer
00679525MedicaidNY
00806708MedicaidNY

National Provider Directory

National Provider Directory

Locations

6490 Main St
Ste 4
Williamsville, NY 14221
Phone (716) 565-3626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235344714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 MAIN ST",
            "address_2": "PO BOX 1561",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142315853",
            "telephone_number": "716-565-3626",
            "fax_number": "716-565-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 MAIN ST",
            "address_2": "SUITE 4",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215853",
            "telephone_number": "716-565-3626",
            "fax_number": "716-565-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTATE HOMECARE OF BUFFALO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "716-565-3626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0240L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00679525",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00806708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.