Fcadh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

2124300N Issued in NY

Legal business name

FCADH LLC

Practice address

104 N Washington St
Herkimer, NY 13350-2028

Phone

(315) 866-6964

Fax

(315) 866-6760

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Efraim Steif

Title

Member

Phone

(845) 371-8100

Specialties & licenses 1

Addresses

Other names 1

• The Pavilion at Claxton Manor Doing business as

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1396173142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HILLCREST CTR",
            "address_2": "SUITE #225",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773740",
            "telephone_number": "845-371-8100",
            "fax_number": "845-371-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N WASHINGTON ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502028",
            "telephone_number": "315-866-6964",
            "fax_number": "315-866-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCADH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "STEIF",
        "authorized_official_first_name": "EFRAIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-371-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "2124300N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pavilion at Claxton Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Alan Failing, D.C.
• Timothy Vincent Failing, DC
• Jenna Fargo, RN
• Jacob Farquhar, PT, DPT
• Faxton St Lukes Healthcare
• James Ferreira, LPN
• Tammy M Flaherty
• Folts Homes
• Foltscare LLC
• Foltscare LLC

• Adult Care Home Facility in Herkimer, NY
• Providers in Herkimer, 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 Oct 14, 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.