Elderwood Village at Westwood

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1171L001 Issued in NY

Legal business name

ELDERWOOD VILLAGE AT WESTWOOD

Practice address

580 Orchard Park Rd
West Seneca, NY 14224-2600

Phone

(716) 677-4242

Fax

(716) 677-0883

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Chur

Title

President

Phone

(716) 633-3900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265645386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242600",
            "telephone_number": "716-677-4242",
            "fax_number": "716-677-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242600",
            "telephone_number": "716-677-4242",
            "fax_number": "716-677-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERWOOD VILLAGE AT WESTWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-633-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "1171L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Ehlers, DDS
• Tracy Lynn Eichelberger
• Mary Margaret Eickhoff, LPN
• Sanford Harris Eisen, DDS
• Kathleen Susan Eisenried, LCSW
• Elite Medical Supply
• Elle Therapeutic Massage
• Gary I. Elliott, RPA-C
• Brendon James Emmick
• Carl Richard Endres, OPTHALMIC DISPENSER

• Assisted Living Facility in West Seneca, NY
• Providers in West Seneca, 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 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.