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44 BALL STREET OPERATING COMPANY LLC NPI 1184997884


NPI Information

NPI: 1184997884
Provider Name: 44 BALL STREET OPERATING COMPANY LLC

Doing Business As: ELDERWOOD ASSISTED LIVING AT WAVERLY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
44 BALL ST
WAVERLY, NY
ZIP 14892
Phone: (607) 565-6329
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44 BALL STREET OPERATING COMPANY LLC is an assisted living facility in Waverly, NY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. 44 BALL STREET OPERATING COMPANY LLC NPI is 1184997884. The provider is registered as an organization entity type.
The provider Is Doing Business As Elderwood Assisted Living At Waverly.

The provider's business location address is:

44 BALL ST
WAVERLY, NY
ZIP 14892-200
Phone: (607) 565-6329

The provider's authorized official is Gregory B. Hook .
The authorized official title is Chief Compliance Officer and has the following contact phone number (908) 236-8712.

The enumeration date for this NPI number is 2/12/2012 and was last updated on 12/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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