Organization Active NPI

Nazareth Home

  • Skilled Nursing Facility
  • Buffalo, NY
National Provider Identifier
1669467296
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1401315N Issued in NY
Legal business name
NAZARETH HOME
Practice address
291 North St
Buffalo, NY 14201-1306
Phone
(716) 604-1826
Fax
(716) 604-1810
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
James A Dunlop Crone
Title
Sr VP Finance/Cfo
Phone
(716) 862-2431

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 1401315N NY
Skilled Nursing Facility 314000000X 1401315N NY Primary

Addresses

Primary practice location

291 North St
Buffalo, NY 14201-1306

Mailing address

291 North St
Buffalo, NY 14201-1306
Phone (716) 604-1826

Other identifiers 4

IdentifierTypeStateIssuer
00475310MedicaidNY
00011457601OtherNYUNIVERA
52OtherNYIHA
214OtherNYHEALTHNOW

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1669467296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011306",
            "telephone_number": "716-604-1826",
            "fax_number": "716-604-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011306",
            "telephone_number": "716-604-1826",
            "fax_number": "716-604-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "CRONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A DUNLOP",
        "authorized_official_title_or_position": "SR VP FINANCE/CFO",
        "authorized_official_telephone_number": "716-862-2431"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "1401315N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1401315N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475310",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011457601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "52",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "214",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 11, 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.