PINEVIEW COMMONS, LLC
Adult Care Home
Johnstown, New York
Provider NPI: 1457438863
Organization Information:Organization Name: PINEVIEW COMMONS, LLC
Practice Location:
201 S MELCHER ST JOHNSTOWN, NY 12095 US
Tel: 518-762-5488 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
201 S MELCHER ST JOHNSTOWN, NY 12095 US
Tel: 518-762-5488 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NY | 280-F-034 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
02205012 | NY | 05 | |
02066773 | NY | 05 | |
01726998 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin