Organization Active NPI

Wingate at Saint Francis, LLC.

  • Skilled Nursing Facility
  • Beacon, NY
National Provider Identifier
1750330296
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1301301N Issued in NY
Legal business name
WINGATE AT SAINT FRANCIS, LLC.
Practice address
10 Hastings Dr
Beacon, NY 12508-2055
Phone
(845) 440-1600
Fax
(845) 440-0622
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Ms. Tamilyn M. Levin, ESQ.
Title
Cfo
Phone
(781) 707-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1301301N NY Primary

Addresses

Primary practice location

10 Hastings Dr
Beacon, NY 12508-2055

Mailing address

63 Kendrick St
Needham, MA 02494-2708
Phone (781) 707-9085

Other identifiers 1

IdentifierTypeStateIssuer
02148649MedicaidNY

Other names 1

  • Wingate at Beacon Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1750330296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KENDRICK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942708",
            "telephone_number": "781-707-9085",
            "fax_number": "781-707-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HASTINGS DR",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082055",
            "telephone_number": "845-440-1600",
            "fax_number": "845-440-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGATE AT SAINT FRANCIS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "TAMILYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-707-9510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1301301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02148649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wingate at Beacon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.