Organization Active NPI

580 Orchard Park Road Operating Company LLC

Doing business as Elderwood Assisted Living at West Seneca

  • Assisted Living Facility
  • West Seneca, NY
National Provider Identifier
1275806978
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
580 ORCHARD PARK ROAD OPERATING COMPANY LLC
Doing business as
Elderwood Assisted Living at West Seneca
Practice address
580 Orchard Park Rd
West Seneca, NY 14224-2600
Phone
(716) 677-4242
NPI assigned
Feb 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Mr. Gregory B. Hook
Title
Chief Compliance Officer
Phone
(908) 236-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

580 Orchard Park Rd
West Seneca, NY 14224-2600

Mailing address

641 Lexington Ave
31St Floor
New York, NY 10022-4503
Phone (908) 236-8712

Other names 1

  • Elderwood Assisted Living at West Seneca Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2128295Elderwood Assisted Living at West Seneca580 Orchard Park Rd, West Seneca, NY 14224Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1275806978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE",
            "address_2": "31ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "908-236-8712"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "580 ORCHARD PARK ROAD OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-12",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "HOOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "908-236-8712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderwood Assisted Living at West Seneca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.