The Capital Region Ford Nursing Co., Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0102300N Issued in NY

Legal business name

THE CAPITAL REGION FORD NURSING CO., INC

Doing business as

Eddy Ford Nursing Home

Practice address

421 West Columbia St
Cohoes, NY 12047-2217

Phone

(518) 238-4082

Fax

(518) 237-9912

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Juanita Wheeler

Title

Director of Finance

Phone

(518) 238-4045

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Eddy Ford Nursing Home Doing business as

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316994221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WEST COLUMBIA STREET",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472217",
            "telephone_number": "518-238-4082",
            "fax_number": "518-237-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 WEST COLUMBIA ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472217",
            "telephone_number": "518-238-4082",
            "fax_number": "518-237-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAPITAL REGION FORD NURSING CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "518-238-4045",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0102300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314585",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10014701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NE NY",
            "identifier": "000400101002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4425791",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "007985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eddy Ford Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James S Styles
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• Barbara Ellen Sweney, PT
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• Skilled Nursing Facility in Cohoes, NY
• Providers in Cohoes, NY by specialty
• Skilled Nursing 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.