Organization Active NPI

Kaleida Health Waterfront Health Care Center

  • Skilled Nursing Facility
  • Buffalo, NY
National Provider Identifier
1780689299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1401333N Issued in NY
Legal business name
KALEIDA HEALTH WATERFRONT HEALTH CARE CENTER
Practice address
200 7TH St
Buffalo, NY 14201-2161
Phone
(716) 847-2500
Fax
(716) 847-1312
NPI assigned
Jun 21, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Maureen E Caruana
Title
Administrator
Phone
(716) 847-2500

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1401333N NY Primary

Addresses

NPPES NPI Registry

Primary practice location

200 7TH St
Buffalo, NY 14201-2161

Mailing address

200 7TH St
Buffalo, NY 14201-2161
Phone (716) 847-2500

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1401333NOtherNYOPERATING CERTIFICATE/LIC
00337673MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780689299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 7TH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012161",
            "telephone_number": "716-847-2500",
            "fax_number": "716-847-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 7TH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012161",
            "telephone_number": "716-847-2500",
            "fax_number": "716-847-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDA HEALTH WATERFRONT HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARUANA",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-847-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1401333N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE/LIC",
            "identifier": "1401333N",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00337673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • 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.