LEROY MANOR (NPI# 1578911921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578911921 |
| Entity Type | Organization |
| Organization Name | LEROY MANOR |
| Practice Address |
8678 Lake Street Road Leroy NY 14482 |
| Mailing Address |
8678 Lake Street Rd Le Roy NY 14482-9357 |
| Practice Telephone | 5857686291 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | NEIL ZYSKIND (MANAGING MEMBER) |
| Authorized Official Telephone | 9142615129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
290-F-005 | NY | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LEROY MANOR HOME CARE, LLC | 8678 Lake Street Road, Leroy, Ny 14482 |
| New York State Corporations | LEROY MANOR REALTY, LLC | 307 Porter Avenue, Buffalo, Ny 14201 |
| New York State Corporations | LEROY MANOR, LLC | 8678 Lake Street Road, Leroy, Ny 14482 |
| Street Address |
8678 LAKE STREET ROAD |
| City | LEROY |
| State | NY |
| Zip Code | 14482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079739 | Eileen Campbell | Speech-Language Pathologist | 80 Munsonst., Leroy, NY 14482 | 2018-10-19 |
| 1710318571 | Sawhney and Padmanabha Family Dentistry | Dentist | 20 Lake St., Leroy, NY 14482 | 2013-12-04 |
| 1013291301 | Brandie Sue Rogoyski | Speech-Language Pathologist | 2-6 Trigon Park, Leroy, NY 14482 | 2011-10-05 |
| 1215127816 | Anthony J. Gugino Dds PC | Dentist | 21 Main St., Le Roy, NY 14482 | 2007-07-30 |
| 1013034305 | Lisa Anne Main | Massage Therapist | 15 Bank St, Leroy, NY 14482 | 2007-03-23 |
| 1467520155 | Eric L Gahagan | Physical Therapist | 3 West Avenue, Le Roy, NY 14482 | 2006-12-01 |
| 1740369016 | Anil K Sawhney | Dentist | 20 Lake Street, Leroy, NY 14482 | 2006-11-06 |
| 1952480923 | Providence Volunteer Ambulance Corps Inc | Ambulance | 7177 Fishhouse Rd, Galway, NY 14482 | 2006-11-02 |
| 1437253986 | Marcella L Saeva | Pharmacist | 9556 Warsaw Road, Leroy, NY 14482 | 2006-09-12 |
| 1063462356 | James R Pacino | Family Medicine | 8745 Lake St Rd, Ste 1, Leroy, NY 14482 | 2006-05-10 |
| Find all providers in zip 14482 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679384 | Blakes Income Tax Services | Assisted Living Facility | 4509 White Plains Road, Bronx, NY 10470 | 2016-02-15 |
| 1578909594 | Tanis Phillips | Assisted Living Facility | 98 Cathedral Ln, Cheektowaga, NY 14225-4612 | 2013-05-16 |
| 1770783813 | Loretto Geriatric Community Residence | Assisted Living Facility | 750 E Brighton Ave, Syracuse, NY 13205-2201 | 2007-07-18 |
| 1861526055 | Ohel Children's Home &family Services | Assisted Living Facility | 1217 Gateway Blvd, Far Rockaway, NY 11691 | 2007-03-16 |
| 1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 1407911928 | Middletown Psychiatric Center | Assisted Living Facility | 140 Old Orangeberg Rd, Orangeberg, NY 10962 | 2006-12-26 |
| 1588033609 | Nys Office of Mental Health | Assisted Living Facility | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2015-09-18 |
| 1487057972 | Mary Agnes Manor | Assisted Living Facility | 307 Porter Ave, Buffalo, NY 14201-1031 | 2014-09-29 |
| 1740683226 | Heritage Manor of Ransomville | Assisted Living Facility | 3509 Ransomville Rd, Ransomville, NY 14131-9602 | 2014-09-29 |
| 1619123999 | Crystal Run Village | Assisted Living Facility | 601 Stony Ford Rd, Middletown, NY 10941-3951 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
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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.