Wedgewood Health Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1451305N Issued in NY

Legal business name

WEDGEWOOD HEALTH CARE CENTER LLC

Practice address

4459 Bailey Ave
Amherst, NY 14226-2129

Phone

(716) 835-2543

Fax

(716) 835-7633

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene Gale

Title

Director of Accounts Receivable

Phone

(716) 633-0021

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710979604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 BAILEY AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262129",
            "telephone_number": "716-835-2543",
            "fax_number": "716-835-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 BAILEY AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262129",
            "telephone_number": "716-835-2543",
            "fax_number": "716-835-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "716-633-0021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1451305N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02084839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Watkins, D.O.
• Nathaniel Watt, DPT
• Emily Ann Watts, PHD
• Amabel Mei Weaver, PNP
• Sarah Weber, FNP
• Jennifer Weerheim, LMHC
• Wegmans Food Markets, Inc.
• Wegmans Food Markets, Inc.
• Alison Marie Wehde
• Elizabeth Ann Weinholtz, OTR/L

• Skilled Nursing Facility in Amherst, NY
• Providers in Amherst, NY by specialty
• Skilled Nursing Facility in New York

• 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.