Organization Active NPI

Presbyterian Senior Care of Western New York, Inc.

  • Skilled Nursing Facility
  • Buffalo, NY
National Provider Identifier
1639116791
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1401329N Issued in NY
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

Updated by the provider on Jul 17, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00475205MedicaidNY

Other names 1

  • Harbour Health Multicare Center for Living Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.