The Grace View Manor Nursing Home Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0824301N Issued in NY

Legal business name

THE GRACE VIEW MANOR NURSING HOME CORPORATION

Practice address

88 Calvary Dr
Norwich, NY 13815-1031

Phone

(607) 336-3915

Fax

(607) 337-1026

NPI assigned

May 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith D. Chadwick

Title

President and Ceo

Phone

(607) 775-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pearl and Everett Gilmour Health Care Facility Doing business as

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1447204524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CALVARY DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151031",
            "telephone_number": "607-336-3915",
            "fax_number": "607-337-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CALVARY DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151031",
            "telephone_number": "607-336-3915",
            "fax_number": "607-337-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRACE VIEW MANOR NURSING HOME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "CHADWICK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "607-775-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0824301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01351468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl and Everett Gilmour Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott M. Sutton, D.C.
• Melissa R Swart, PT
• Matthew C Tarplee
• Paul F. Tegtmeyer, PH.D.
• The Golub Corporation
• Allison Thomas, NPP-BC
• Brittany Thomsen, MASSAGE THERAPIST
• Jeffrey A Todd, DPM
• Trevor G Tompkins, FNP-C
• Jason Tran

• Skilled Nursing Facility in Norwich, NY
• Providers in Norwich, 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 Mar 4, 2011; 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.