RONALD R. JOHNSON (NPI# 1477754703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477754703 |
| Entity Type | Organization |
| Organization Name | RONALD R. JOHNSON |
| Other Organization Name | JOHNSON LLHCSA FORESTVILLE |
| Practice Address |
2063 Route 83 Forestville NY 14062-9639 |
| Practice Telephone | 7169652644 |
| Mailing Telephone | 7169652644 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DEAN STANLEY BROWN (FINANCE DIRECTOR) |
| Authorized Official Telephone | 7169652644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
0671A002 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01996767 | 05 |
| Other Name | Type Code |
|---|---|
| Johnson LLHCSA Forestville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780885012 | Ronald R. Johnson | Custodial Care Facility | 4883 W Main Rd, Fredonia, NY 14063-9509 | 2007-05-31 |
| 1013125467 | Ronald R. Johnson | Custodial Care Facility | 4460 Union Hill Rd, Hinsdale, NY 14743-9715 | 2007-05-18 |
| Street Address |
2063 ROUTE 83 |
| City | FORESTVILLE |
| State | NY |
| Zip Code | 14062-9639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285120089 | Forestville Chiropractic PC | Chiropractor | 24 Main St, Forestville, NY 14062 | 2018-07-03 |
| 1679666838 | Jessica L Davis-mierzwa | Chiropractor | 24 Main St, Forestville, NY 14062 | 2006-10-02 |
| 1558525451 | Danielle Elizabeth Whitfield | Registered Nurse | 18 Center St, Evercare, Forestville, NY 14062-9504 | 2008-07-10 |
| 1578101564 | Nichole Rinehart | Student in an Organized Health Care Education/Training Program | 8832 Prospect Rd, Forestville, NY 14062-9520 | 2019-12-20 |
| 1114295045 | Kathryn A Lotz | Occupational Therapy Assistant | 1508 Gage Rd, Forestville, NY 14062-9528 | 2011-12-07 |
| 1841426632 | Cathy R Emke | Licensed Practical Nurse | 351 Route 39, Forestville, NY 14062-9570 | 2009-06-07 |
| 1437481702 | Michael Paul Skelly | Social Worker | 21 Cedar St, Forestville, NY 14062-9604 | 2010-02-11 |
| 1821270455 | Forestville Central School | Local Education Agency (LEA) | 12 Water St, Forestville, NY 14062-9608 | 2007-12-05 |
| 1902204456 | Emily Anne Scott | Occupational Therapy Assistant | 12 Water St, Forestville, NY 14062-9608 | 2014-12-16 |
| 1457669350 | Heather Kaczor | Speech-Language Pathologist | 12 Water St, Forestville, NY 14062-9608 | 2010-09-14 |
| Find all providers in zip 14062 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557828 | Kenwood Manor Inc | Custodial Care Facility | 141 Rockefeller Rd, Delmar, NY 12054-2221 | 2020-10-27 |
| 1336748383 | Jjj Yaut, LLC | Custodial Care Facility | 4806 Ny 52, Jeffersonville, NY 12748 | 2020-10-21 |
| 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 | FORESTVILLE |
| Zip Code | 14062 |
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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.