Underwood Gardens, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

UNDERWOOD GARDENS, LLC

Doing business as

Willow Creek

Practice address

4460 Union Hill Rd
Hinsdale, NY 14743-9715

Phone

(716) 557-2322

Fax

(716) 557-2323

NPI assigned

Mar 5, 2024

Last updated

Mar 5, 2024By 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

Eili KaganoffNPI 1952611501

Title

Manager

Phone

(716) 557-2322

Specialties & licenses 1

Addresses

Other names 1

• Willow Creek Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eili Kaganoff, LCSW

  • Clinical Social Worker
  • Williamsville, NY
  • NPI 1952611501
  NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1598522633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 UNION HILL RD",
            "city": "HINSDALE",
            "state": "NY",
            "postal_code": "147439715",
            "telephone_number": "716-557-2322",
            "fax_number": "716-557-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 UNION HILL RD",
            "city": "HINSDALE",
            "state": "NY",
            "postal_code": "147439715",
            "telephone_number": "716-557-2322",
            "fax_number": "716-557-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD GARDENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "KAGANOFF",
        "authorized_official_first_name": "EILI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-557-2322"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Loveless, LMHC
• Laurie Oliver, LMT
• Ronald R. Johnson (Underwood Manor LLHCSA)
• Kathleen Anne Simon, M.A., CCC-LSLP
• Nathan Richard Smith, PHARMD, MFT

• Assisted Living Facility in Hinsdale, NY
• Providers in Hinsdale, 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 Mar 5, 2024; 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.