Wegman Family (Glen Falls) LLC V

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

750-S-003 Issued in NY

Legal business name

WEGMAN FAMILY (GLEN FALLS) LLC V

Practice address

27 Woodvale Rd
Queensbury, NY 12804-1785

Phone

(518) 793-5556

Fax

(518) 793-9863

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

Noelle Diaz Bickel

Title

Licensing Specialist

Phone

(206) 298-2909

Specialties & licenses 2

Addresses

Other names 1

• Landing at Queensbury Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1982932869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WOODVALE RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041785",
            "telephone_number": "518-793-5556",
            "fax_number": "518-793-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEGMAN FAMILY (GLEN FALLS) LLC V",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "750-S-003",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NY",
            "license": "750-S-003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landing at Queensbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Elizabeth Warren, FNP
• Jay K Wasserman, DDS
• Elyse Weaver, LMSW
• Christopher J Weber, NPP
• Julia Vlada Weber, PMHNP
• Kathleen Ann Welch, REGISTERED NURSE
• Shea Kathryn Wenzler, MHC-P
• West Glens Falls Emergency Squad Inc.
• .Laura Angele West, M.S.,CCC-SLP
• Toni A Westbrook, OTR/L

• Assisted Living Facility in Queensbury, NY
• Providers in Queensbury, 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, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.