Kaleida Health

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KALEIDA HEALTH

Doing business as

Millard Fillmore Gates SNF

Practice address

3 Gates Cir
Buffalo, NY 14209-1120

Phone

(716) 887-4208

NPI assigned

Jun 9, 2006

Last updated

Jul 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela H McCrorey

Title

Ar Manager

Phone

(716) 859-8313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millard Fillmore Gates SNF Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1366483695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GATES CIR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091120",
            "telephone_number": "716-887-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GATES CIR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091120",
            "telephone_number": "716-887-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MCCROREY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "716-859-8313"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00748090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millard Fillmore Gates SNF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millard Fillmore Gates SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaleida Health
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• Kaleida Health
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• Kaleida Health

• Adult Care Home Facility in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.