37 NORTH CHEMUNG STREET OPERATING COMPANY, LLC (NPI# 1700242609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700242609 |
| Entity Type | Organization |
| Organization Name | 37 NORTH CHEMUNG STREET OPERATING COMPANY, LLC |
| Other Organization Name | ELDERWOOD AT WAVERLY |
| Practice Address |
37 N Chemung St Waverly NY 14892-1211 |
| Practice Telephone | 6075652861 |
| Mailing Telephone | 6075652861 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | MR. GREGORY B. HOOK (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2128027609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03006604 | 05 |
| Other Name | Type Code |
|---|---|
| Elderwood at Waverly | Doing Business As Name - Organization |
| Street Address |
37 N CHEMUNG ST |
| City | WAVERLY |
| State | NY |
| Zip Code | 14892-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641199 | Tioga Nursing Home | Skilled Nursing Facility | 37 N Chemung St, Waverly, NY 14892-1211 | 2005-07-07 |
| 1942847959 | Neila Jeanne Thomas | Physical Therapist | 37 N Chemung St, Waverly, NY 14892-1211 | 2019-12-09 |
| 1841777521 | Melissa Traub | Nurse Practitioner | 37 N Chemung St, Waverly, NY 14892-1211 | 2018-07-25 |
| 1184117665 | Juliane C Koehler | Physical Therapy Assistant | 37 N Chemung St, Waverly, NY 14892-1211 | 2018-06-11 |
| 1891287967 | Shelly Diane Rusin | Physical Therapy Assistant | 37 N Chemung St, Waverly, NY 14892-1211 | 2018-06-04 |
| 1821588682 | Jessica Palozzi | Speech-Language Pathologist | 37 N Chemung St, Waverly, NY 14892-1211 | 2018-05-16 |
| 1891068565 | 37 North Chemung Street Operating Company LLC | Skilled Nursing Facility | 37 N Chemung St, Waverly, NY 14892-1211 | 2012-02-10 |
| 1851529796 | Jennifer Lynn Cleveland | Licensed Practical Nurse | 37 N Chemung St, Waverly, NY 14892-1211 | 2009-06-30 |
| 1427209121 | Jennifer Anne Kozemko | Occupational Therapist | 37 N Chemung St, Waverly, NY 14892-1211 | 2008-10-01 |
| 1962670117 | Elderwood Adult Day Care At Tioga | Skilled Nursing Facility | 37 N Chemung St, Waverly, NY 14892-1211 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861586208 | Patricia O. Davis | Nurse Practitioner | 80 William Donnelly Parkway, Waverly, NY 14892 | 2006-10-02 |
| 1982718763 | Joseph Anthony Picco | Dentist | 16 Frederick St, Waverly, NY 14892 | 2006-08-18 |
| 1104101674 | Sensational Kids Physical, Occupational & Speech Therapy Services Pllc | Early Intervention Provider Agency | 332 Broad St, Waverly, NY 14892 | 2011-10-17 |
| 1104971092 | Alice O'brien-botts | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-24 |
| 1306991047 | Jane A. Lane | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-24 |
| 1134273162 | Dianne L. Hill | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-23 |
| 1902042450 | Patricia Louise Ward | Physical Therapist | 97 Center St, Waverly, NY 14892-1103 | 2009-01-05 |
| 1245369628 | Diann M Dexter | Licensed Practical Nurse | 30 Lincoln St, Waverly, NY 14892-1117 | 2007-03-03 |
| 1265439186 | Tioga Healthcare Facility | Assisted Living Facility | 44 Ball St, Waverly, NY 14892-1200 | 2005-07-07 |
| 1184997884 | 44 Ball Street Operating Company LLC | Assisted Living Facility | 44 Ball St, Waverly, NY 14892-1200 | 2012-02-12 |
| Find all providers in zip 14892 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1083246888 | Brightest Adult Day Care Center LLC | Clinic/Center | 667 61st St, Brooklyn, NY 11220-4123 | 2020-02-10 |
| 1952933947 | Unity Adult Daycare Inc | Clinic/Center | 16210 Highland Ave, Jamaica, NY 11432-3438 | 2020-02-07 |
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| 1679105738 | Mommy Social Adult Day Care, Inc. | Clinic/Center | 6151 Fresh Meadow Ln, Fresh Meadows, NY 11365-2018 | 2020-02-06 |
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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.