Active NPI
Presbyterian Senior Care of Western New York, Inc.
- Skilled Nursing Facility
- Buffalo, NY
National Provider Identifier
1639116791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1401329N
- Legal business name
- PRESBYTERIAN SENIOR CARE OF WESTERN NEW YORK, INC.
- Doing business as
- Harbour Health Multicare Center for Living
- Practice address
- 1205 Delaware Ave
Buffalo, NY 14209-1401 - Phone
- (716) 885-3838
- Fax
- (716) 885-2331
- NPI assigned
- May 31, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1401329N | NY | Primary |
Addresses
Primary practice location
1205 Delaware Ave
Buffalo, NY 14209-1401
Mailing address
4455 Transit Rd
Suite 2a
Williamsville, NY 14221-6030
Phone (716) 631-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00475205 | Medicaid | NY |
Other names 1
- Harbour Health Multicare Center for Living
National Provider Directory
National Provider DirectoryLocations
4455 Transit Rd
Ste 2A
Williamsville, NY 14221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247788800000",
"number": "1639116791",
"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": "1205 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142091401",
"telephone_number": "716-885-3838",
"fax_number": "716-885-2331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESBYTERIAN SENIOR CARE OF WESTERN NEW YORK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2009-07-17",
"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": "1401329N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00475205",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbour Health Multicare Center for Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.