NPIMap

Organization Active NPI

Ann Lee Home

  • Skilled Nursing Facility
  • Albany, NY
National Provider Identifier
1649291253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0153303N Issued in NY
Legal business name
ANN LEE HOME
Practice address
875 Watervliet Shaker Rd
Albany, NY 12211-1051
Phone
(518) 869-2231
Fax
(518) 869-1290
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Coffey
Title
Director
Phone
(518) 869-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0153303N NY Primary

Addresses

Primary practice location

875 Watervliet Shaker Rd
Albany, NY 12211-1051

Mailing address

875 Watervliet Shaker Rd
Albany, NY 12211-1089
Phone (518) 869-2231

Other identifiers 1

IdentifierTypeStateIssuer
00340372MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Ann Lee Home10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649291253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 WATERVLIET SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111089",
            "telephone_number": "518-869-2231",
            "fax_number": "518-869-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WATERVLIET SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111051",
            "telephone_number": "518-869-2231",
            "fax_number": "518-869-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN LEE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-869-2231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0153303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00340372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.