Active NPI
Briody Health Care Faciltiy LLC
- Skilled Nursing Facility
- Lockport, NY
National Provider Identifier
1386632628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3101300N
- Legal business name
- BRIODY HEALTH CARE FACILTIY LLC
- Practice address
- 909 Lincoln Ave
Lockport, NY 14094-6142 - Phone
- (716) 434-6361
- Fax
- (716) 434-6396
- NPI assigned
- Oct 11, 2005
- Last updated
- Sep 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ann Briody Petock, RN, MSN, LNH
- Title
- Administrator/Owner
- Phone
- (716) 434-6361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3101300N | NY | Primary |
Addresses
Primary practice location
909 Lincoln Ave
Lockport, NY 14094-6142
Mailing address
909 Lincoln Ave
Lockport, NY 14094-6142
Phone (716) 434-6361
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000624932001 | Other | NY | BLUE CROSS |
| 000626902001 | Other | NY | BLUE CROSS |
| 0109980 | Other | NY | INDEPENDENT HEALTH |
| 000000219000 | Other | NY | BLUE CROSS |
| 000670088001 | Other | NY | BLUE CROSS |
| 00010070502 | Other | NY | UNIVERA |
| 000508042004 | Other | NY | BLUE CROSS |
| 000640005006 | Other | NY | BLUE CROSS |
| 000670038001 | Other | NY | BLUE CROSS |
| 080047479 | Other | NY | PALMETTO GBA |
| 000626997001 | Other | NY | BLUE CROSS |
| 44 | Other | NY | INDEPENDENT HEALTH |
| 80084A | Other | NY | UPSTATE MEDICARE PART B |
| 00011419701 | Other | NY | UNIVERA |
| 00475443 | Medicaid | NY | |
| T5 | Other | NY | INDEPENDENT HEALTH |
| 000624931001 | Other | NY | BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252454400000",
"number": "1386632628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 LINCOLN AVE",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140946142",
"telephone_number": "716-434-6361",
"fax_number": "716-434-6396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 LINCOLN AVE",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140946142",
"telephone_number": "716-434-6361",
"fax_number": "716-434-6396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIODY HEALTH CARE FACILTIY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-11",
"last_updated": "2009-09-09",
"status": "A",
"authorized_official_last_name": "PETOCK",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "BRIODY",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "716-434-6361",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, MSN, LNH"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "3101300N",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000624932001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000626902001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0109980",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000219000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000670088001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010070502",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000508042004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000640005006",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000670038001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "080047479",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000626997001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "44",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPSTATE MEDICARE PART B",
"identifier": "80084A",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011419701",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00475443",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "T5",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000624931001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.