FAIRCHILD MANOR NURSING HOME LLC (NPI# 1528054657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528054657 |
| Entity Type | Organization |
| Organization Name | FAIRCHILD MANOR NURSING HOME LLC |
| Practice Address |
765 Fairchild Pl Lewiston NY 14092-1309 |
| Mailing Address |
Post Office Box 0730 East Amherst NY 14051-0730 |
| Practice Telephone | 7166347600 |
| Practice Fax Number | 7166333369 |
| Mailing Telephone | 7168674853 |
| Mailing Fax Number | 7166333369 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | MR. MARC I KORN (PRESIDENT OWNER) |
| Authorized Official Telephone | 7168674853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3121302N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02099296 | 05 |
| Street Address |
765 FAIRCHILD PL |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871042663 | Ahc of Lewiston, LLC | Skilled Nursing Facility | 2852 Juniper Dr, Lewiston, ID 83501-4719 | 2016-09-22 |
| 1275902520 | Jack Lane Iv | Skilled Nursing Facility | 615 29th St, Lewiston, ID 83501-3341 | 2015-09-16 |
| 1326193863 | Eagle Healthcare Inc | Skilled Nursing Facility | 1014 Burrell Ave, Lewiston, ID 83501-5472 | 2007-01-24 |
| 1700948122 | Lewiston Operations, LLC | Skilled Nursing Facility | 33 Roger St, Lewiston, ME 04240-3328 | 2006-12-14 |
| 1083637011 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 3315 8th St, Lewiston, ID 83501-4966 | 2006-07-25 |
| 1235182155 | Clearwater Operations, LLC | Skilled Nursing Facility | 325 Warner Dr, Lewiston, ID 83501-4437 | 2006-05-19 |
| 1255322087 | Royal Plaza Retirement Center Lewiston, LLC | Skilled Nursing Facility | 2870 Juniper Dr, Lewiston, ID 83501-4720 | 2005-11-01 |
| 1679562011 | Division of Veterans Services | Skilled Nursing Facility | 821 21st Ave, Lewiston, ID 83501-6389 | 2005-10-18 |
| 1720073539 | Our Lady of Peace Inc. | Skilled Nursing Facility | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2005-09-19 |
| 1952306524 | St. Mary's Regional Medical Center | Skilled Nursing Facility | 102 Campus Ave, Lewiston, ME 04240-6019 | 2005-06-20 |
| Find all providers in LEWISTON | ||||
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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.