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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2128295 | Elderwood Assisted Living at West Seneca | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.