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Contact Information

2600 NIAGARA FALLS BOULEVARD OPERATING COMPANY LLC
2600 NIAGARA FALLS BLVD
WHEATFIELD, NY14304-4560
 Phone: 716-215-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for 2600 NIAGARA FALLS BOULEVARD OPERATING COMPANY LLC

NPI Number 1891068532
LBN Legal business name 2600 NIAGARA FALLS BOULEVARD OPERATING COMPANY LLC
Authorized official JEFFREY RUBIN - (CO-CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2012
Last updated 01/19/2023 - About 3 years ago
Identifiers
NY Medicaid 01615021
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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