Organization Active NPI

Kingsway Manor LLC

  • Assisted Living Facility
  • Schenectady, NY
National Provider Identifier
1902068877
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
650-F-103 Issued in NY
Legal business name
KINGSWAY MANOR LLC
Practice address
357 Kings Rd
Schenectady, NY 12304-3645
Phone
(518) 393-4304
Fax
(519) 393-0749
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. Michael MC Partlon
Title
Vice President
Phone
(518) 393-4117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 650-F-103 NY Primary

Addresses

Primary practice location

357 Kings Rd
Schenectady, NY 12304-3645

Mailing address

357 Kings Rd
Schenectady, NY 12304-3645
Phone (518) 393-4304

Other identifiers 1

IdentifierTypeStateIssuer
650-F-103OtherNYOPERATING CERTIFICATE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2161434Kingsway Manor Assistant Living357 Kings Road, Schenectady, NY 12304Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1902068877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 KINGS RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043645",
            "telephone_number": "518-393-4304",
            "fax_number": "519-393-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 KINGS RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043645",
            "telephone_number": "518-393-4304",
            "fax_number": "519-393-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MC PARTLON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "518-393-4117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "650-F-103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE",
            "identifier": "650-F-103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.