Elderwood Assisted Living at Tioga LLC
Organization Active NPI Assisted Living Facility · Waverly, NY
NPI 1952585705 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1952585705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- ELDERWOOD ASSISTED LIVING AT TIOGA LLC
- Practice address
- 37 N Chemung St
Waverly, NY 14892-1211 - Phone
- (607) 565-6329
- Fax
- (607) 565-6314
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Darlene Gale
- Title
- Director of Accounts Receivable
- Phone
- (716) 250-1150
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NY | Yes |
Addresses
Primary practice location
37 N Chemung St
Waverly, NY 14892-1211
Mailing address
37 N Chemung St
Waverly, NY 14892-1211
Phone (607) 565-6329
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01439225 | Medicaid | NY |
Other providers in Waverly, NY
- Anne Demott
- Rebecca M Denison
- Diann M Dexter
- Kristen M Eddy
- Elderwood Adult Day Care at Tioga
- Elderwood Health Care at Tioga LLC
- Gregory Lynn Finch
- Bernadette Frenz
- Ashley M Fuller
- Timothy Michael Fullmer
All providers in Waverly, NY · Assisted Living Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.