Arbor Park Health Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1461301N Issued in NY

Legal business name

ARBOR PARK HEALTH CARE CENTER, INC

Doing business as

The Waters of Eden

Practice address

2806 George St
Eden, NY 14057-1205

Phone

(716) 992-3987

Fax

(716) 992-2281

NPI assigned

May 31, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Smith

Title

Treasurer

Phone

(716) 805-1474

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• The Waters of Eden Doing business as

Tax ID family

Absolut Center for Nursing and Rehabilitation at Eden LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Absolut Center for Nursing and Rehabilitation at Eden, LLC

  • Skilled Nursing Facility
  • Eden, NY
  • NPI 1508993320
  NPD tax ID

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1932146933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GLEED AVE",
            "address_2": "CO THE PARK ASSOCIATES, INC.",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522980",
            "telephone_number": "716-652-2820",
            "fax_number": "716-655-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 GEORGE ST",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571205",
            "telephone_number": "716-992-3987",
            "fax_number": "716-992-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR PARK HEALTH CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "716-805-1474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1461301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1V",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000000225000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011438901",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01058777",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waters of Eden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Absolut Center for Nursing and Rehabilitation at Eden, LLC
• Elizabeth A Achtyl, RDH
• Kaitlyn Rose Agen
• Alisha Alfano
• Kenneth J Armstrong, LMT
• Battleworks Inc. (BWI Promotions and BWI Family Wellness Center)
• Carol Ann Boismenu, LPN
• Jill M Brady-Slomka, PT
• Cazenovia Recovery Systems, Inc.

• Skilled Nursing Facility in Eden, NY
• Providers in Eden, 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 Jun 19, 2008; 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.