Active NPI
St Francis Home of Williamsville
- Nursing Facility/Intermediate Care Facility
- Williamsville, NY
National Provider Identifier
1821084492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 1421300N
- Legal business name
- ST FRANCIS HOME OF WILLIAMSVILLE
- Practice address
- 147 Reist St
Williamsville, NY 14221-5321 - Phone
- (716) 633-5400
- NPI assigned
- Sep 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James A Dunlop Crone
- Title
- Sr VP Finance/Cfo
- Phone
- (716) 862-2431
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 1421300N | NY | Primary |
| Skilled Nursing Facility | 314000000X | 1421300N | NY |
Addresses
Primary practice location
147 Reist St
Williamsville, NY 14221-5321
Mailing address
147 Reist St
Williamsville, NY 14221-5321
Phone (716) 633-5400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z | Other | NY | IHA |
| 00011439001 | Other | NY | UNIVERA |
| 00475383 | Medicaid | NY | |
| E5 | Other | NY | IHA |
| 81324 | Other | NY | IHA |
| 270 | Other | NY | HEALTHNOW |
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive at Williamsville LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Williamsville, NY
- NPI 1164815916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234310400000",
"number": "1821084492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 REIST ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215321",
"telephone_number": "716-633-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 REIST ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215321",
"telephone_number": "716-633-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS HOME OF WILLIAMSVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2009-02-11",
"status": "A",
"authorized_official_last_name": "CRONE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A DUNLOP",
"authorized_official_title_or_position": "SR VP FINANCE/CFO",
"authorized_official_telephone_number": "716-862-2431"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NY",
"license": "1421300N",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "1421300N",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1Z",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011439001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00475383",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "E5",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "81324",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW",
"identifier": "270",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.