Buffalo Beacon Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BUFFALO BEACON CORPORATION

Doing business as

The Albert O. Nichols House

Practice address

201 King St
Herkimer, NY 13350-2409

Phone

(315) 866-3121

Fax

(315) 866-0829

NPI assigned

Aug 15, 2014

Last updated

Aug 15, 2014By 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. Adam Cole

Title

It Director

Phone

(716) 332-1139

Specialties & licenses 1

Addresses

Other names 1

• The Albert O. Nichols House Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Beacon Center2 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.

• Buffalo Beacon Corporation

  dba Beacon Center

  • Addiction (Substance Use Disorder) Counselor
  • Amherst, NY
  • NPI 1083618672
  NPD tax ID

Locations

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1588063549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SHERIDAN DR",
            "address_2": "STE 106",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261977",
            "telephone_number": "315-866-3121",
            "fax_number": "315-866-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KING ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502409",
            "telephone_number": "315-866-3121",
            "fax_number": "315-866-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO BEACON CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "IT DIRECTOR",
        "authorized_official_telephone_number": "716-332-1139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Albert O. Nichols House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana Brindisi, LMSW
• Donald J Brouillette, RPH
• Lisa Francine Brouillette, OT/L
• Anand Deepak Buch, PA-C
• Kary Elizabeth Buddle, P.T.A.
• Sheila M Burth, P.T.
• Angela Cable, LPN
• Shania Camardello
• Heather Robin Campione, RN
• Claudia Carcone

• Assisted Living Facility in Herkimer, NY
• Providers in Herkimer, 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 Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.