Pontiac Nursing Home Llc

LBN: Pontiac Nursing Home Llc
Pontiac Nursing Home Llc is an health care organization with primary practice located at 303 E River Rd , Oswego NY 13126-6400. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Care, Pediatric, which is considered as the primary health care specialty. Pontiac Nursing Home Llc can be contacted via phone (315) 343-1900, or through Moshier, Theresa L via phone (315) 343-1800.

Contact Information

Primary practice address
303 E River Rd Oswego NY 13126-6400
Phone: (315) 343-1900
Fax: (315) 343-1821
Website:
Map and Directions
Authorized official contact:
Name: Moshier, Theresa L ASST. ADMINISTRATOR
Phone: (315) 343-1800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X

Profile Details

NPI number 1417946732
LBN Legal business name Pontiac Nursing Home Llc
DBA Doing business as
Authorized official Moshier, Theresa L ASST. ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1417946732 NPPES
New York MEDICAID 00308365

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