County of Washington New York

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5750300N Issued in NY

Legal business name

COUNTY OF WASHINGTON NEW YORK

Practice address

4573 State Route 40
Argyle, NY 12809-3474

Phone

(518) 638-8274

Fax

(518) 638-6420

NPI assigned

May 8, 2006

Last updated

Aug 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooke Daley

Title

Administrator

Phone

(518) 638-8274

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pleasant Valley Nursing Home Other name

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1720037781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4573 STATE ROUTE 40",
            "city": "ARGYLE",
            "state": "NY",
            "postal_code": "128093474",
            "telephone_number": "518-638-8274",
            "fax_number": "518-638-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4573 STATE ROUTE 40",
            "city": "ARGYLE",
            "state": "NY",
            "postal_code": "128093474",
            "telephone_number": "518-638-8274",
            "fax_number": "518-638-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WASHINGTON NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-638-8274"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5750300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Valley Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barb Black, RN
• Katelyn Boyle, OTR/L
• Maribeth Cioffi
• County of Washington New York
• County of Washington New York
• Lisa Ann Daigle-Monroe, RN
• Megan Davis
• Cara Demu, RD
• Jessica Elizabeth Fuller, RN
• Tiana Glacy, RN

• Skilled Nursing Facility in Argyle, NY
• Providers in Argyle, 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 26, 2014; 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.