Elderwood At Lockport

LBN: 104 Old Niagara Road Operating Company, Llc
Elderwood At Lockport is an health care organization with primary practice located at 104 Old Niagara Rd , Lockport NY 14094-1500. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 104 Old Niagara Road Operating Company, Llc can be contacted via phone (716) 434-8039, or through Rubin, Jeffrey via phone (716) 817-5075.

Contact Information

Primary practice address
104 Old Niagara Rd Lockport NY 14094-1500
Phone: (716) 434-8039
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rubin, Jeffrey
Phone: (716) 817-5075

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1902339054
LBN Legal business name 104 Old Niagara Road Operating Company, Llc
DBA Doing business as Elderwood At Lockport
Authorized official Rubin, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2017
Last updated Jan 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902339054 NPPES
New York MEDICAID 00356372

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