GOWANDA CORRECTIONAL FACILITY (NPI# 1174629489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174629489 |
| Entity Type | Organization |
| Organization Name | GOWANDA CORRECTIONAL FACILITY |
| Practice Address |
South Road C/o Pharmacy Gowanda NY 14070-0350 |
| Mailing Address |
Po Box 350 C/o Pharmacy Gowanda NY 14070-0350 |
| Practice Telephone | 7165320177 |
| Practice Fax Number | 7165320177 |
| Mailing Telephone | 7165320177 |
| Mailing Fax Number | 7165320177 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD A SAVAGE (SUPERINTENDENT) |
| Authorized Official Telephone | 7165320177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 022302 | NY | Nursing & Custodial Care Facilities |
| Street Address |
SOUTH ROAD C/O PHARMACY |
| City | GOWANDA |
| State | NY |
| Zip Code | 14070-0350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184074791 | Ann Marie Cobo | Licensed Practical Nurse | 14703 Aldrich St, Gowanda, NY 14070 | 2016-06-14 |
| 1538419502 | Brooks - Tlc Hospital System Inc | Family Medicine | 34 Commercial St, Gowanda, NY 14070 | 2012-09-17 |
| 1265717136 | Jennifer Siragusa | Registered Nurse | 84 North Chapel St, Gowanda, NY 14070 | 2011-10-11 |
| 1952558298 | Jennifer Jane Kohn | Speech-Language Pathologist | 3499 Foster Road, Gowanda, NY 14070 | 2008-08-19 |
| 1134301039 | George Andrew Lisjak | Chiropractor | 15 South Water St, Gowanda, NY 14070 | 2007-12-03 |
| 1780733113 | Suneil C Ninan | Chiropractor | 18 East Main Street, Gowanda Chiropractic, Gowanda, NY 14070 | 2007-01-08 |
| 1073589008 | John B Mcalevey | Psychiatry & Neurology | 1438 Taylor Hollow Road, Gowanda, NY 14070 | 2006-02-28 |
| 1588657043 | Gnh LLC | Skilled Nursing Facility | 100 Miller St, Gowanda, NY 14070 | 2005-08-30 |
| 1831495126 | Briana J Postle | Social Worker | 10674 Prospect St, Gowanda, NY 14070 | 2011-02-03 |
| 1972733632 | Sarah Ayers | Physician Assistant | 100 Miller St, Gowanda, NY 14070 | 2009-07-15 |
| Find all providers in zip 14070 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215460787 | Loren Kenney | Custodial Care Facility | 464 Remsen Rd, Wading River, NY 11792-1747 | 2017-04-11 |
| 1912383324 | Anne Brunache | Custodial Care Facility | 71 Rockland Ln, Spring Valley, NY 10977-2308 | 2015-08-07 |
| 1346633989 | Nys Doccs | Custodial Care Facility | 11739 State Route 22, Great Meadow Correctional Facility, Comstock, NY 12821-0051 | 2015-03-06 |
| 1497146088 | Creative Adult Daycare Corp | Custodial Care Facility | 508 New York Ave, Huntington, NY 11743-4214 | 2015-02-18 |
| 1932538782 | Sunshine Social Day Care Center Inc | Custodial Care Facility | 4124 Sunrise Hwy, Oakdale, NY 11769-1079 | 2013-11-02 |
| 1174951495 | Ocean Front Day Care LLC | Custodial Care Facility | 11502 Ocean Promenade, Rockaway Park, NY 11694-2412 | 2013-10-23 |
| 1023452141 | Ditmas Park Adult Day Care LLC | Custodial Care Facility | 464 E 22nd St, Brooklyn, NY 11226-6902 | 2013-04-19 |
| 1104260389 | Inspire Social Day Care Center | Custodial Care Facility | 5801 Foster Avenue, Brooklyn, NY 11234 | 2013-04-18 |
| 1619211323 | Amber Health LLC | Custodial Care Facility | 220 Forest Dr, Jericho, NY 11753-2320 | 2012-11-19 |
| 1265795454 | Salem Home Care Agency, LLC | Custodial Care Facility | 220 Hillside Ave, Valley Stream, NY 11580-2517 | 2012-06-21 |
| 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.