Ideal Senior Living Center, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0303902L Issued in NY

Legal business name

IDEAL SENIOR LIVING CENTER, INC.

Practice address

508 High Ave
Endicott, NY 13760-4789

Phone

(607) 786-7300

Fax

(607) 786-7417

NPI assigned

Mar 21, 2006

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ideal Senior Living Center Inc

  • Skilled Nursing Facility
  • Endicott, NY
  • NPI 1336116300

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1265491922",
    "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": "137604789",
            "telephone_number": "607-786-7300",
            "fax_number": "607-786-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 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, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-04-13",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0303902L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01195197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Kayson Hubeny, LCSWR
• Kathleen Jane Huff, RN
• Anwar Ahmed Hussain, M.D.
• Ideal Senior Living Center Housing Corp
• Ideal Senior Living Center Inc
• Kristin Joy Isenberg, RPA-C
• Islacf LLC
• Islrnc LLC
• Mira Jarmak, D.M.D.
• Ngandu Sonia Jefferies, DMD

• Home Health Agency in Endicott, NY
• Providers in Endicott, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.