Johnson Llhcsa Fredonia

LBN: Ronald R. Johnson
Johnson Llhcsa Fredonia is an health care organization with primary practice located at 4883 W Main Rd , Fredonia NY 14063-9509. 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) 679-4883, or through Brown, Dean Stanley via phone (716) 965-2644.

Contact Information

Primary practice address
4883 W Main Rd Fredonia NY 14063-9509
Phone: (716) 679-4883
Fax: (716) 679-4881
Website:
Map and Directions
Authorized official contact:
Name: Brown, Dean Stanley
Phone: (716) 965-2644

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 0671A001 New York

Profile Details

NPI number 1780885012
LBN Legal business name Ronald R. Johnson
DBA Doing business as Johnson Llhcsa Fredonia
Authorized official Brown, Dean Stanley
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 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 1780885012 NPPES
New York MEDICAID 01996758

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