Pineview Commons, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

280-F-034 Issued in NY

Legal business name

PINEVIEW COMMONS, LLC

Doing business as

Pineview Commons Home For Adults

Practice address

201 S Melcher St
Johnstown, NY 12095-2820

Phone

(518) 762-5488

Fax

(518) 762-5583

NPI assigned

Nov 1, 2006

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kara Volllmer, RN

Title

Administrator

Phone

(518) 762-5488

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pineview Commons Home For Adults Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1457438863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MELCHER ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952820",
            "telephone_number": "518-762-5488",
            "fax_number": "518-762-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MELCHER ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952820",
            "telephone_number": "518-762-5488",
            "fax_number": "518-762-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVIEW COMMONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "VOLLLMER",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-762-5488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "280-F-034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01726998",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02066773",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineview Commons Home For Adults",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Johnstown, NY
• Providers in Johnstown, 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 Feb 14, 2008; 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.