NPIMap

Organization Active NPI

Elderwood Adult Day Care at Tioga

  • Skilled Nursing Facility
  • Waverly, NY
National Provider Identifier
1962670117
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5320301N Issued in NY
Legal business name
ELDERWOOD ADULT DAY CARE AT TIOGA
Practice address
37 N Chemung St
Waverly, NY 14892-1211
Phone
(607) 565-6321
Fax
(607) 565-6261
NPI assigned
Feb 11, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ELDERWOOD HEALTH CARE AT TIOGAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Mrs. Darlene Gale
Title
Director of Accounts Receivable
Phone
(716) 250-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5320301N NY Primary

Addresses

Primary practice location

37 N Chemung St
Waverly, NY 14892-1211

Mailing address

37 N Chemung St
Waverly, NY 14892-1211
Phone (607) 565-6321

Other identifiers 1

IdentifierTypeStateIssuer
01008020MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Elderwood Health Care at Tioga LLC2 organizations share this tax ID, including this one
Part of
Elderwood Health Care at Tioga LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1962670117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N CHEMUNG ST",
            "city": "WAVERLY",
            "state": "NY",
            "postal_code": "148921211",
            "telephone_number": "607-565-6321",
            "fax_number": "607-565-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N CHEMUNG ST",
            "city": "WAVERLY",
            "state": "NY",
            "postal_code": "148921211",
            "telephone_number": "607-565-6321",
            "fax_number": "607-565-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERWOOD ADULT DAY CARE AT TIOGA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELDERWOOD HEALTH CARE AT TIOGA",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "716-250-1150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5320301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01008020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.