Active NPI
Rosewood Senior Village
- Assisted Living Facility
- Hamburg, NY
National Provider Identifier
1457438459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 0784L001
- Legal business name
- ROSEWOOD SENIOR VILLAGE
- Practice address
- 76 Buffalo St
Hamburg, NY 14075-5025 - Phone
- (716) 649-7676
- Fax
- (716) 648-5670
- NPI assigned
- Nov 1, 2006
- 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
- Mr. Robert Chur
- Title
- Operator
- Phone
- (716) 633-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 0784L001 | NY | Primary |
Addresses
Primary practice location
76 Buffalo St
Hamburg, NY 14075-5025
Mailing address
76 Buffalo St
Hamburg, NY 14075-5025
Phone (716) 649-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01877921 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
76 Buffalo St
Hamburg, NY 14075
Phone (716) 649-7676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457438459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 BUFFALO ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755025",
"telephone_number": "716-649-7676",
"fax_number": "716-648-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 BUFFALO ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755025",
"telephone_number": "716-649-7676",
"fax_number": "716-648-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEWOOD SENIOR VILLAGE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHUR",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "716-633-3900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NY",
"license": "0784L001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01877921",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.