Seneca Lake Terrace Operating, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

31040000X Issued in NY

Legal business name

SENECA LAKE TERRACE OPERATING, LLC

Practice address

3670 Pre Emption Rd
Geneva, NY 14456-9138

Phone

(315) 789-4162

Fax

(315) 781-1494

NPI assigned

May 31, 2016

Organization subpart

Yes

Parent organization

PREMIER SENIOR LIVING, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Wayne Kaplan

Title

Principal

Phone

(212) 739-0795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1578911681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569138",
            "telephone_number": "315-789-4162",
            "fax_number": "315-781-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569138",
            "telephone_number": "315-789-4162",
            "fax_number": "315-781-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA LAKE TERRACE OPERATING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER SENIOR LIVING, LLC",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "212-739-0795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "31040000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Scofield
• Doria A Scortichini, M.D., F.A.C.C.
• Kathryn Scoville, RN
• Seeds of Hope Mental Health Counseling Services, PLLC
• Kimberly Seidel
• Senecalake Terrace
• Rafael Sezan, M.D.
• Shannon Blake
• Vattan Sharma, DDS
• Caitlin Sharman, M.S., ATC, PTA

• Assisted Living Facility in Geneva, NY
• Providers in Geneva, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.