WILLCARE (NPI# 1780130591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780130591 |
| Entity Type | Organization |
| Organization Name | WILLCARE |
| Practice Address |
803 Grant Anenue Lake Katrine NY 12449 |
| Mailing Address |
803 Grant Ave Lake Katrine NY 12449-5352 |
| Practice Telephone | 8453315064 |
| Mailing Telephone | 8453315064 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | MRS. DONNA V RANIERI (RN) |
| Authorized Official Telephone | 5187552812 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
457210-1 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629443007 | Willcare | Home Health | 99 Silver Spring Rd, New Windsor, NY 12553-7101 | 2015-12-10 |
| 1932503570 | Willcare | Case Management | 6762 County Road 20, Friendship, NY 14739 | 2014-10-10 |
| 1457799447 | Willcare | Home Health | 3066 Panama Stedman Rd, Ashville, NY 14710 | 2013-06-12 |
| 1427320779 | Willcare | Home Health | 5990 James Rd, Sinclairville, NY 14782-9458 | 2012-02-02 |
| 1992075030 | Willcare | Home Health | 365 Willowgreen Drive, Amherst, NY 14228 | 2012-01-06 |
| 1285922914 | Willcare | Home Health | 150 Debra Ln, Buffalo, NY 14207-2339 | 2011-07-15 |
| 1720388978 | Willcare | Home Health | 220 Fluvanna Ave Suite 200, Jamestown, NY 14723 | 2010-10-21 |
| 1134439185 | Willcare | Home Health | 66 Floral Place, Cheektowaga, NY 11422 | 2010-10-08 |
| 1164749560 | Willcare | Home Health | 3695 Milestrip Rd, Blasdell, NY 14219-1526 | 2010-04-23 |
| 1780900696 | Willcare | Home Health | 78 Bidwell Pkwy, Buffalo, NY 14222-1121 | 2010-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILLCARE | 346 Delaware Ave, Buffalo, NY 14202-1804 |
| New York State Corporations | WILLCARE, INC. | 122 East 42nd Street, 18th Floor, New York, New York 10168 |
| Massachusetts Corporations | WILLCARE, INC. | 34 Central Ave., Revere, MA 02151 |
| Street Address |
803 GRANT ANENUE |
| City | LAKE KATRINE |
| State | NY |
| Zip Code | 12449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841785318 | Shannon Maureen Stanton | Registered Nurse | 803 Grant Ane, Lake Katrine, NY 12449 | 2018-06-27 |
| 1366786253 | Hudson Valley Hearing Aid Center Inc. | Hearing Instrument Specialist | 1996 Route 9 W, Lake Katrine, NY 12449 | 2012-11-16 |
| 1689957102 | Pearl Edith Graziano | Licensed Practical Nurse | 803 Grant Avenue, Kingston, NY 12449 | 2011-09-21 |
| 1861773418 | Michael Moscowitz | Surgery | 1561 Ulster Ave Fl 2, Lake Katrine, NY 12449 | 2011-09-08 |
| 1205147501 | Glen F. Pomerantz | Technician/Technologist | 1636 Ulster Ave., Lake Katrine, NY 12449 | 2010-07-01 |
| 1255584124 | Margarita Rose | Licensed Practical Nurse | 55 Leggs Mills Rd, Lake Katine, NY 12449 | 2008-10-23 |
| 1073560363 | Michael John Dolamore | Family Medicine | One Commons Drive, Ten Broeck Commons, Lake Katrine, NY 12449 | 2006-05-30 |
| 1689239337 | Kinneret Sussman | Physician Assistant | 1561 Route 9w, Lake Katrine, NY 12449 | 2019-05-08 |
| 1629489166 | Raisa Tsvaygenbaum | Podiatrist | 1561 Rte 9w, Lake Katrine, NY 12449 | 2014-05-19 |
| 1528339827 | Peter Brink | Registered Nurse | 803 Grant Ave, Lake Katrine, NY 12449 | 2012-01-18 |
| Find all providers in zip 12449 | ||||
| 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 | LAKE KATRINE |
| Zip Code | 12449 |
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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.