Organization Active NPI

Niagara Lutheran Home and Rehabilitation Center.Inc.

  • Skilled Nursing Facility
  • Buffalo, NY
National Provider Identifier
1992766265
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NIAGARA LUTHERAN HOME AND REHABILITATION CENTER.INC.
Practice address
64 Hager St
Buffalo, NY 14208-1327
Phone
(716) 886-4377
Fax
(716) 886-0036
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Mrs. Laurie J. Jankowski
Title
Chief Financial Officer
Phone
(716) 684-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

64 Hager St
Buffalo, NY 14208-1327

Mailing address

5959 Broadway St
Lancaster, NY 14086-9523
Phone (716) 684-0202

Other identifiers 1

IdentifierTypeStateIssuer
00475338MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1992766265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869523",
            "telephone_number": "716-684-0202",
            "fax_number": "716-206-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HAGER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142081327",
            "telephone_number": "716-886-4377",
            "fax_number": "716-886-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA LUTHERAN HOME AND REHABILITATION CENTER.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "716-684-0202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.