2600 Niagara Falls Boulevard Al Operating Company, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

500-F-101 Issued in NY

Legal business name

2600 NIAGARA FALLS BOULEVARD AL OPERATING COMPANY, LLC

Practice address

2600 Niagara Falls Boulevard
Wheatfield, NY 14304-4560

Phone

(716) 215-8000

NPI assigned

Aug 30, 2012

Organization subpart

No

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

(212) 802-7609

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elderwood Assisted Living at Wheatfield Doing business as

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1346599875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVENUE",
            "address_2": "31ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "212-802-7609",
            "fax_number": "646-924-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NIAGARA FALLS BOULEVARD",
            "city": "WHEATFIELD",
            "state": "NY",
            "postal_code": "143044560",
            "telephone_number": "716-215-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2600 NIAGARA FALLS BOULEVARD AL OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "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": "212-802-7609",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "500-F-101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03382152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderwood Assisted Living at Wheatfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 2600 Niagara Falls Boulevard Operating Company LLC
• Nicholas B Chuba, PT, DPT
• Matthew Grichen, DPT
• Anthony Sbrocchi, RPH

• Assisted Living Facility in Wheatfield, NY
• Providers in Wheatfield, 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 Dec 23, 2013; 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.