Organization Active NPI

Rosewood Senior Village

  • Assisted Living Facility
  • Hamburg, NY
National Provider Identifier
1457438459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0784L001 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01877921MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.