Seneca Nursing & Rehab Center

Primary specialty

BusTaxonomy code 347B00000X

License

4921303 Issued in NY

Legal business name

SENECA NURSING & REHAB CENTER

Practice address

200 Douglas Dr
Waterloo, NY 13165-1645

Phone

(315) 539-9202

Fax

(315) 539-3495

NPI assigned

Jun 17, 2005

Last updated

Sep 24, 2007By 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

Mr. Dennis L Mart

Title

Cfo

Phone

(585) 244-0410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seneca Medi-Trans Other name

Tax ID family

Seneca Medi-Trans2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seneca Nursing and Rehabilitation

  • Rehabilitation Clinic/Center
  • Waterloo, NY
  • NPI 1578568374
  NPD tax ID

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1487659280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072107",
            "telephone_number": "585-244-0410",
            "fax_number": "585-244-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOUGLAS DR",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651645",
            "telephone_number": "315-539-9202",
            "fax_number": "315-539-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA NURSING & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "MART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-244-0410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NY",
            "license": "4921303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02524578",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seneca Medi-Trans",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Seneca County Health Department
• Seneca County Health Department
• Seneca County Health Department
• Seneca County Public Health Department
• Seneca County Treasurer (Seneca Cnty Cnslg Ct)
• Seneca Nursing and Rehabilitation
• Seneca Nursing and Rehabilitation
• John E Shafer, LCSW
• John Frank Sherman, CASAC-T
• Robert Shields, CRPA-P

• Bus in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Bus in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.