Ideal Senior Living Center Housing Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

030E039 Issued in NY

Legal business name

IDEAL SENIOR LIVING CENTER HOUSING CORP

Practice address

600 High Ave
Endicott, NY 13760-4789

Phone

(607) 786-7300

Fax

(607) 786-7417

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn Barbieri

Title

Controller

Phone

(607) 786-7307

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1245405489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HIGH AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604719",
            "telephone_number": "607-786-7307",
            "fax_number": "607-786-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGH AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604789",
            "telephone_number": "607-786-7300",
            "fax_number": "607-786-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SENIOR LIVING CENTER HOUSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "BARBIERI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "607-786-7307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "030E039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01945399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Faith Howard, M.S., CCC-SLP
• Melissa Ann Howard, RN, BSN
• Heather Kayson Hubeny, LCSWR
• Kathleen Jane Huff, RN
• Anwar Ahmed Hussain, M.D.
• Ideal Senior Living Center Inc
• Ideal Senior Living Center, Inc.
• Kristin Joy Isenberg, RPA-C
• Islacf LLC
• Islrnc LLC

• Assisted Living Facility in Endicott, NY
• Providers in Endicott, 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 Apr 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.