River Park Healthcare Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0420301N Issued in NY

Legal business name

RIVER PARK HEALTHCARE CENTER, INC.

Doing business as

The Waters of Allegany

Practice address

5TH St & Maple Ave
Allegany, NY 14706

Phone

(716) 373-2238

Fax

(716) 373-2273

NPI assigned

Jun 8, 2006

Last updated

Aug 1, 2008By 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

Mr. John Smith

Title

Treasurer

Phone

(716) 805-1474

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• The Waters of Allegany Doing business as

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1366483836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GLEED AVE",
            "address_2": "THE PARK ASSOCIATES, INC",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522980",
            "telephone_number": "716-652-2820",
            "fax_number": "716-655-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH ST & MAPLE AVE",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "14706",
            "telephone_number": "716-373-2238",
            "fax_number": "716-373-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER PARK HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "716-805-1474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0420301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000000309000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PROVIDER #",
            "identifier": "00030050801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "3U",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02901531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waters of Allegany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Allegany, NY
• Providers in Allegany, 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 1, 2008; 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.