Chautauqua County Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

004729-1 Issued in NY

Legal business name

CHAUTAUQUA COUNTY HOME

Practice address

10836 Temple Rd
Dunkirk, NY 14048-9610

Phone

(716) 366-6400

Fax

(716) 366-0114

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Hellwig

Title

Administrator

Phone

(716) 366-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1851638985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10836 TEMPLE RD",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140489610",
            "telephone_number": "716-366-6400",
            "fax_number": "716-366-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10836 TEMPLE RD",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140489610",
            "telephone_number": "716-366-6400",
            "fax_number": "716-366-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA COUNTY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "HELLWIG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-366-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "004729-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004729-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Grey Chase, LMSW
• Amara Chase, RN
• Chautauqua Adult Day Care Centers, Inc
• Chautauqua County Chapter of Nysarc Inc.
• Chautauqua County Health Department
• Chautauqua Health & Fitness LLC
• Chautauqua Opportunities, Inc.
• Chautauqua Radiology, PC
• Kristina Marie Christopher, FNP
• Terry Lee Christy, RN

• Skilled Nursing Facility in Dunkirk, NY
• Providers in Dunkirk, 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 Jan 9, 2013; 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.