Laconia Nursing Homes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

323040 Issued in NY

Legal business name

LACONIA NURSING HOMES

Practice address

3468 Fenton Ave
Apartment 1B
Bronx, NY 10469-2032

Phone

(646) 305-8048

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Mary Eboh, 718 881 4370

Title

Cna

Phone

(646) 305-8048

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1710355821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 FENTON AVE",
            "address_2": "APARTMENT 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692032",
            "telephone_number": "646-305-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 FENTON AVE",
            "address_2": "APARTMENT 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692032",
            "telephone_number": "646-305-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACONIA NURSING HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "EBOH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "646-305-8048",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "718 881 4370"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "323040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayann Lackansingh, RN
• Vontrise Lacks, LMSW
• Jonathan Lacmanen
• Laconia Avenue Pharmacy Corp
• Laconia Nursing Home Inc.
• Edward Alexander Lacorte, O.D.
• Amy Uemura Lacount, MD
• Francois Lacour-Gayet, MD
• Nijah Lacourt
• Omayra Lacourt, ASSOCIATE DEGREE

• Adult Care Home Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.