Organization Active NPI

Falls Home Inc

  • Assisted Living Facility
  • Montour Falls, NY
National Provider Identifier
1770655201
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
670-F-004 Issued in NY
Legal business name
FALLS HOME INC
Practice address
111 Schuyler Street
Montour Falls, NY 14865-0829
Phone
(607) 535-7165
Fax
(607) 535-2511
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Ms. Shannon Cunningham, RN
Title
Administrator
Phone
(607) 535-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 670-F-004 NY Primary

Addresses

Primary practice location

111 Schuyler Street
Montour Falls, NY 14865-0829

Mailing address

111 Schuyler Street
PO Box 829
Montour Falls, NY 14865-0829
Phone (607) 535-7165

Other identifiers 2

IdentifierTypeStateIssuer
01432402MedicaidNY
02655489MedicaidNY

Other names 1

  • The Falls Home Former legal business name

National Provider Directory

National Provider Directory

Locations

111 Schuyler St
Montour Falls, NY 14865
Phone (607) 535-7165

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1770655201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SCHUYLER STREET",
            "address_2": "PO BOX 829",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148650829",
            "telephone_number": "607-535-7165",
            "fax_number": "607-535-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SCHUYLER STREET",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148650829",
            "telephone_number": "607-535-7165",
            "fax_number": "607-535-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "607-535-7165",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "670-F-004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01432402",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02655489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Falls Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Montour Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.