REGENCY SENIOR LIVING ALP (NPI# 1104954296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104954296 |
| Entity Type | Organization |
| Organization Name | REGENCY SENIOR LIVING ALP |
| Other Organization Name | AMBER COURT |
| Practice Address |
3400 Brush Hollow Rd Westbury NY 11590-1712 |
| Practice Telephone | 5163343838 |
| Practice Fax Number | 5163343866 |
| Mailing Telephone | 5163343838 |
| Mailing Fax Number | 5163343866 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RAPHAEL WEISS (ADMINISTRATOR) |
| Authorized Official Telephone | 5163343838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 400-F-295 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02228980 | 05 |
| Other Name | Type Code |
|---|---|
| Amber Court | Doing Business As Name - Organization |
| Street Address |
3400 BRUSH HOLLOW RD |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023106366 | Maria C Tibbe | Physical Therapist | 3400 Brush Hollow Rd, Westbury, NY 11590-1712 | 2006-10-11 |
| 1861006264 | Amber Court of Westbury II LLC | Assisted Living Facility | 3400 Brush Hollow Rd, Westbury, NY 11590-1712 | 2020-09-02 |
| 1326698408 | Patricia Ann Maxwell | Social Worker | 3400 Brush Hollow Rd, Westbury, NY 11590-1712 | 2019-09-19 |
| 1780870279 | Pathak Internal Medicine PC | Specialist | 3400 Brush Hollow Rd, Westbury, NY 11590-1712 | 2007-09-19 |
| 1669528139 | Regency Senior Living Center | Non-emergency Medical Transport (VAN) | 3400 Brush Hollow Rd, Westbury, NY 11590-1712 | 2007-01-26 |
| 1871664508 | Isha Pathak | Internal Medicine | 3400 Brush Hollow Rd, Westbury, NY 11590-1712 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006264 | Amber Court of Westbury II LLC | Assisted Living Facility | 3400 Brush Hollow Rd, Westbury, NY 11590-1712 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950966 | Kim One Family Type Homes for Adults | Assisted Living Facility | 361 California Ave, Uniondale, NY 11553-1857 | 2020-10-26 |
| 1992310395 | Gasna Aladin | Assisted Living Facility | 39 Irving St, Valley Stream, NY 11580-1634 | 2020-09-11 |
| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1366067738 | Fountainview At College Rd | Assisted Living Facility | 2000 Fountainview Dr, Monsey, NY 10952-2875 | 2020-06-11 |
| 1831734367 | The Sentinel of Port Jervis | Assisted Living Facility | 2247 Greenville Tpke, Port Jervis, NY 12771-3216 | 2019-11-07 |
| 1871135525 | Heather Hieghts of Pittsford | Assisted Living Facility | 160 W Jefferson Rd, Pittsford, NY 14534-1802 | 2019-10-15 |
| 1306499884 | Olean Manor Inc | Assisted Living Facility | 3260 N 7th St, Allegany, NY 14706-9532 | 2019-07-23 |
| 1053879791 | The Mohawk Homestead | Assisted Living Facility | 62 E. Main St., Mohawk, NY 13407 | 2019-03-12 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1699274290 | Rtacf LLC | Assisted Living Facility | 1 Buntline Dr, Stamford, NY 12167-1203 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.