Elderwood Assisted Living at Penfield LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELDERWOOD ASSISTED LIVING AT PENFIELD LLC

Practice address

100 Elderwood CT
Penfield, NY 14526-1762

Phone

(585) 425-9663

Fax

(585) 388-8632

NPI assigned

Jul 23, 2010

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

Manager

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": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1316250962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LIMESTONE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217051",
            "telephone_number": "716-633-3900",
            "fax_number": "716-633-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELDERWOOD CT",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261762",
            "telephone_number": "585-425-9663",
            "fax_number": "585-388-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERWOOD ASSISTED LIVING AT PENFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "CHUR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-633-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03225587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Jaroslavina Dyakiv, LPN
• Kathe Sue Dziura, R.N.
• Eastside Medical Urgent Care, LLC
• Amanda Eggleton, LMSW
• Nicole Ehrne
• Kirsten L Elting
• Episcopal Senior Housing, Penfield, LLC
• Fairport Acupuncture & Wellness, P.C.
• Jonathan Errol Falanga, D.C.
• Sarah Farr, RPH

• Assisted Living Facility in Penfield, NY
• Providers in Penfield, 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 Jul 23, 2010; 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.