NPIMap

Organization Active NPI

Schofield Residence Inc.

Doing business as Schofield NHTD Program

  • Home Health Agency
  • Kenmore, NY
National Provider Identifier
1558787762
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SCHOFIELD RESIDENCE INC.
Doing business as
Schofield NHTD Program
Practice address
2757 Elmwood Ave
Kenmore, NY 14217-1609
Phone
(716) 874-2600
Fax
(716) 873-2265
NPI assigned
Mar 12, 2014
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SCHOFIELD RESIDENCE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Mr. Randy Gerlach
Title
President
Phone
(716) 874-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2757 Elmwood Ave
Kenmore, NY 14217-1609

Mailing address

3333 Elmwood Ave
Kenmore, NY 14217-1013
Phone (716) 874-1566

Other names 1

  • Schofield NHTD Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wheel Chair Home Inc5 organizations share this tax ID, including this one
Part of
Wheel Chair Home Inc

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1558787762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171013",
            "telephone_number": "716-874-1566",
            "fax_number": "716-874-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171609",
            "telephone_number": "716-874-2600",
            "fax_number": "716-873-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOFIELD RESIDENCE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHOFIELD RESIDENCE INC.",
        "enumeration_date": "2014-03-12",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-874-1566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schofield NHTD Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schofield NHTD Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.