Organization · Type 2 NPI

1818 Como Park Boulevard Operating Company LLC

Skilled Nursing Facility · Lancaster, NY

NPI number 1053684720 Active

Practice location

1818 Como Park Blvd
Lancaster, NY 14086-2824

Call (716) 683-6165 Map

Mailing address

500 Seneca St Ste 100
Buffalo, NY 14204-1963

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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NPI record

NPI: 1053684720
Entity type: Organization (Type 2)
Issued: Feb 10, 2012
Last updated: Jan 19, 2023
Status: Active

Other names

<unavail>
Elderwood at Lancaster · doing business as
Elderwood at Lancaster · doing business as

Authorized official

Dr. Jeffrey Rubin
Co-Chief Executive Officer
(716) 817-5075

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053684720

1818 Como Park Boulevard Operating Company LLC's National Provider Identifier is 1053684720, issued on Feb 10, 2012. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Lancaster, NY. The record was last updated on Jan 19, 2023.