Active NPI
St Josephs Manor
- Skilled Nursing Facility
- Olean, NY
National Provider Identifier
1952397580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0401301N
- Legal business name
- ST JOSEPHS MANOR
- Practice address
- 2211 W State St
Olean, NY 14760-1921 - Phone
- (716) 372-7810
- 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
- K David Crone
- Title
- Sr VP Finance/Cfo
- Phone
- (716) 828-2024
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0401301N | NY | |
| Skilled Nursing Facility | 314000000X | 0401301N | NY | Primary |
Addresses
Primary practice location
2211 W State St
Olean, NY 14760-1921
Mailing address
2211 W State St
Olean, NY 14760-1921
Phone (716) 372-7810
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11 | Other | NY | IHA |
| 00475136 | Medicaid | NY | |
| 00030592301 | Other | NY | UNIVERA |
| 271 | Other | NY | HEALTHNOW |
National Provider Directory
National Provider DirectoryLocations
2211 W State St
Olean, NY 14760
Phone (716) 372-1236
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": "1757548800000",
"number": "1952397580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 W STATE ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601921",
"telephone_number": "716-372-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 W STATE ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601921",
"telephone_number": "716-372-7810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOSEPHS MANOR",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CRONE",
"authorized_official_first_name": "K",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "SR VP FINANCE/CFO",
"authorized_official_telephone_number": "716-828-2024"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NY",
"license": "0401301N",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "0401301N",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "11",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00475136",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00030592301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW",
"identifier": "271",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.