Elderwood Of Lakeside At Brockport

LBN: 170 West Avenue Operating Company, Llc
Elderwood Of Lakeside At Brockport is an health care organization with primary practice located at 170 West Ave , Brockport NY 14420-1227. 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. 170 West Avenue Operating Company, Llc can be contacted via phone (585) 395-6052, or through Rubin, Jeffrey via phone (716) 817-5075.

Contact Information

Primary practice address
170 West Ave Brockport NY 14420-1227
Phone: (585) 395-6052
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 1245784271
LBN Legal business name 170 West Avenue Operating Company, Llc
DBA Doing business as Elderwood Of Lakeside At Brockport
Authorized official Rubin, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2016
Last updated Jan 19th, 2023 - about 2 years ago

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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