Underwood Manor Llhcsa

LBN: Ronald R. Johnson
Underwood Manor Llhcsa is an health care organization with primary practice located at 4460 Union Hill Rd , Hinsdale NY 14743-9715. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Ronald R. Johnson can be contacted via phone (716) 557-2322, or through Johnson, Ronald Ray via phone (716) 595-8784.

Contact Information

Primary practice address
4460 Union Hill Rd Hinsdale NY 14743-9715
Fax:
Website:
Authorized official contact:
Name: Johnson, Ronald Ray

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 0671A003 New York

Profile Details

NPI number 1013125467
LBN Legal business name Ronald R. Johnson
DBA Doing business as Underwood Manor Llhcsa
Authorized official Johnson, Ronald Ray
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013125467 NPPES
New York MEDICAID 02731313
New York Other 0671A003

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