KALEIDA HEALTH (NPI# 1366489221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366489221 |
| Entity Type | Organization |
| Organization Name | KALEIDA HEALTH |
| Other Organization Name | DEGRAFF MEMORIAL SNF |
| Practice Address |
445 Tremont St North Tonawanda NY 14120-6150 |
| Mailing Address |
726 Exchange St Suite 300 Buffalo NY 14210-1484 |
| Practice Telephone | 7166902077 |
| Mailing Telephone | 7168597200 |
| Mailing Fax Number | 7168598658 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | URIAS DAMES (MANAGER PFS) |
| Authorized Official Telephone | 7168598556 |
| Is Organization Subpart | Y |
| Parent Organization Name | KALEIDA HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00475452 | 05 |
| Other Name | Type Code |
|---|---|
| Degraff Memorial SNF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598198822 | Kaleida Health | Clinic/Center | 475 S Transit St, Lockport, NY 14094-5562 | 2013-08-09 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1639370802 | Kaleida Health | General Acute Care Hospital | 150 Southside Pkwy, Buffalo, NY 14220-1552 | 2007-05-29 |
| 1477635308 | Kaleida Health | Clinic/Center | 295 Carlton St, Buffalo, NY 14204-1126 | 2006-10-19 |
| 1770522799 | Kaleida Health | General Acute Care Hospital | 3251 S Creek Rd, Hamburg, NY 14075-6167 | 2006-06-05 |
| 1376580233 | Kaleida Health | Skilled Nursing Facility | 1031 Michigan Avenue, Buffalo, NY 14203-1019 | 2006-06-01 |
| 1093084006 | Kaleida Health | General Acute Care Hospital | 1010 Main St, Buffalo, NY 14202-1102 | 2011-12-20 |
| 1316215759 | Kaleida Health | General Acute Care Hospital | 1540 Maple Rd, Williamsville, NY 14221-3647 | 2011-12-13 |
| 1891026225 | Kaleida Health | General Acute Care Hospital | 100 High St, Buffalo, NY 14203-1126 | 2010-01-25 |
| 1861526063 | Kaleida Health | Clinic/Center | 100 High St, Buffalo, NY 14203-1126 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KALEIDA HEALTH | 726 Exchange Str, Buffalo, NY 14210-1484 |
| New York State Corporations | KALEIDA HEALTH FOUNDATION | Office of General Counsel, 726 Exchange Street, Buffalo, New York 14210 |
| Street Address |
445 TREMONT ST |
| City | NORTH TONAWANDA |
| State | NY |
| Zip Code | 14120-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144299892 | Twin City Physicians Group P.C. | Emergency Medicine | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2006-03-15 |
| 1699235580 | Ann Marie Jacobs | Nurse Practitioner | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2019-03-25 |
| 1407389109 | Molly Eimer | Nurse Practitioner | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2017-04-10 |
| 1255881819 | Holly Rosene Layer | Dietitian, Registered | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2016-10-07 |
| 1558765768 | Marianne Bauerlein | Pharmacist | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2014-10-17 |
| 1619218906 | Gretchen Ann Bergdolt | Dietitian, Registered | 445 Tremont St, Degraff Memorial Hospital, North Tonawanda, NY 14120-6150 | 2013-03-12 |
| 1346587037 | Geoffrey Roeser | Physician Assistant | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2013-01-15 |
| 1154694651 | Rita Raquel Huerta | Nurse Practitioner | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2012-02-14 |
| 1124398920 | John P Patti Md | Hospitalist | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2012-01-10 |
| 1386877942 | Jill Schleifer Schneggenburger | Physical Medicine & Rehabilitation | 445 Tremont St, North Tonawanda, NY 14120-6150 | 2009-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894888 | Theresa Lynn Rogers | Driver | 40 Carruthers Pl, North Tonawanda, NY 14120 | 2019-08-01 |
| 1861969065 | Christine Elizabeth Oliveri | Physician Assistant | 7348 Graydon Dr., North Tonawanda, NY 14120 | 2018-10-26 |
| 1619444825 | Katherine Gabrielle Rodriguez | Physician Assistant | 6929 Maple Dr., North Tonawanda, NY 14120 | 2018-10-25 |
| 1598204703 | Vicki Ann Dimaria | Registered Nurse | 624 River Road, Suite 8, North Tonawanda, NY 14120 | 2017-02-21 |
| 1720537442 | Twin Cities Meals On Wheels | Home Delivered Meals | 100 Ridge Road, North Tonawanda, NY 14120 | 2016-09-22 |
| 1558712489 | Adeel Amir | Family Medicine | 1089 Kinkead Ave Ste 111, North Tonawanda, NY 14120 | 2016-06-22 |
| 1962850339 | Mary Elizabeth T. Wellence | Counselor | 3376 Niagara Falls Blvd., Suite 5, North Tonawanda, NY 14120 | 2016-05-26 |
| 1154745677 | John Meena Yacoub | Dentist | 30-18 208th St, Bayside, NY 14120 | 2014-02-05 |
| 1780934588 | Patricia Bogdan | Registered Nurse | 89 B River Road, North Tonawanda, NY 14120 | 2012-09-19 |
| 1073871299 | Nicole Kerner | Social Worker | 455 Meadow Drive, North Tonawanda, NY 14120 | 2012-04-25 |
| Find all providers in zip 14120 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
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| 1528683463 | Hanmaum Daycare LLC | Custodial Care Facility | 3238 148th St, Flushing, NY 11354-3259 | 2020-06-16 |
| 1538700158 | Parkview Hfa, Inc. | Custodial Care Facility | 3200 Bronx Blvd, Bronx, NY 10467-6305 | 2019-10-04 |
| 1457903437 | Prime Social Day Care | Custodial Care Facility | 1918 1st Ave 1st Floor, New York, NY 10029 | 2019-07-10 |
| 1477116457 | Caroline S Reuben | Custodial Care Facility | 17108 Jamaica Ave, Jamaica, NY 11432-5428 | 2019-04-16 |
| 1255898979 | Yan K Chan | Custodial Care Facility | 6504 Bay Pkwy, Brooklyn, NY 11204-3931 | 2019-02-28 |
| 1609357284 | Sun Sunshine Adult Daycare Ctr Inc | Custodial Care Facility | 738 58th St, Brooklyn, NY 11220-3917 | 2018-08-22 |
| 1285113548 | The House of Hope | Custodial Care Facility | 31 Standish Rd, Valley Stream, NY 11580-1131 | 2018-08-08 |
| 1083112940 | True Quality Care | Custodial Care Facility | 1616 Chili Ave, Rochester, NY 14624-3246 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH TONAWANDA |
| Zip Code | 14120 |
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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.