Fairchild Manor Nursing Home Llc

LBN: Fairchild Manor Nursing Home Llc
Fairchild Manor Nursing Home Llc is an health care organization with primary practice located at 765 Fairchild Pl , Lewiston NY 14092-1309. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Fairchild Manor Nursing Home Llc can be contacted via phone (716) 634-7600, or through Korn, Marc I via phone (716) 867-4853.

Contact Information

Primary practice address
765 Fairchild Pl Lewiston NY 14092-1309
Phone: (716) 634-7600
Fax: (716) 633-3369
Website:
Map and Directions
Authorized official contact:
Name: Korn, Marc I
Phone: (716) 867-4853

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3121302N New York

Profile Details

NPI number 1528054657
LBN Legal business name Fairchild Manor Nursing Home Llc
DBA Doing business as
Authorized official Korn, Marc I
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Nov 30th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528054657 NPPES
New York MEDICAID 02099296

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