Presbyterian Senior Care of Western New York, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1401323N Issued in NY

Legal business name

PRESBYTERIAN SENIOR CARE OF WESTERN NEW YORK, INC.

Practice address

1175 Delaware Ave
Buffalo, NY 14209-1401

Phone

(716) 885-6733

Fax

(716) 885-0696

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David R. Saunders

Title

President & Ceo

Phone

(716) 631-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hawthorn Health Multicare Center for Living Doing business as

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1528015682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 TRANSIT RD",
            "address_2": "SUITE 2A",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216030",
            "telephone_number": "716-631-0123",
            "fax_number": "716-631-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091401",
            "telephone_number": "716-885-6733",
            "fax_number": "716-885-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN SENIOR CARE OF WESTERN NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "716-631-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1401323N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorn Health Multicare Center for Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Health Partners
• Premier Pharmacy LLC
• Premium Ppe, LLC
• Nora Prendergast, PHARMD
• Jeremiah Andrew Prentice
• Presbyterian Senior Care of Western New York, Inc.
• Gina Marie Prescott, PHARM.D.
• William Allan Prescott Jr., PHARMD
• Erl Presentacion
• Prester Mental Health Counseling PLLC

• Skilled Nursing Facility in Buffalo, NY
• Providers in Buffalo, 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 Jul 28, 2009; 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.