Tanglewood Manor, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

03A1922 Issued in NY

Legal business name

TANGLEWOOD MANOR, INC

Practice address

560 Fairmount Avenue
Jamestown, NY 14701-2749

Phone

(716) 483-2876

Fax

(716) 483-2832

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Terri L Ingersoll, C.O.O.

Title

Administrator

Phone

(716) 483-2876

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Comfort Today2 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.

• Comfort Today

  • Adult Day Care Clinic/Center
  • Jamestown, NY
  • NPI 1740615962
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Comfort Today

  • Adult Day Care Clinic/Center
  • Jamestown, NY
  • NPI 1740615962
  NPPES parent name

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1932302882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 FAIRMOUNT AVENUE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012749",
            "telephone_number": "716-483-2876",
            "fax_number": "716-483-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 FAIRMOUNT AVENUE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012749",
            "telephone_number": "716-483-2876",
            "fax_number": "716-483-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGLEWOOD MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "INGERSOLL",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-483-2876",
        "authorized_official_credential": "C.O.O."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "03A1922",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879583",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie L Swanson
• Sara Swanson, NP
• Shirley J Swenson, FNP
• Nicole Rae Szymczak, PT, DPT
• Luke William Tackentien, NP
• Laurie Tanner, R.N.
• Stacey Lynn Teagarden
• Team Services, Inc
• Jackson Tyler Teboe, FNP-C
• Susan M Terhune, RN

• Assisted Living Facility in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.