Three Rivers Healthcare Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5026300N Issued in NY

Legal business name

THREE RIVERS HEALTHCARE CENTER, INC.

Doing business as

The Waters of Three Rivers

Practice address

101 Creekside Dr
Painted Post, NY 14870-9208

Phone

(607) 936-4108

Fax

(607) 936-3641

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Smith

Title

Treasurer

Phone

(716) 805-1474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Waters of Three Rivers Doing business as

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1508805979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GLEED AVE",
            "address_2": "THE PARK ASSOCIATES, INC.",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522980",
            "telephone_number": "716-652-2820",
            "fax_number": "716-655-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CREEKSIDE DR",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709208",
            "telephone_number": "607-936-4108",
            "fax_number": "607-936-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "716-805-1474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5026300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00705362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waters of Three Rivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara A Strong
• Hana Won Sullivan, AGNP-C
• Samuel Sutton, PSYD
• Stacy Terwilliger, RN
• Rebecca C Thomason, NP
• Twin Tier Management Corp Inc
• Mary Upright
• Joann Vanzile
• Jensen Vosburg, PA-C
• Marissa Wagner, PT, DPT

• Skilled Nursing Facility in Painted Post, NY
• Providers in Painted Post, 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 Aug 1, 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.