Provider Demographics
NPI:1558423350
Name:BEECHWOOD HEALTH CARE CENTER INC.
Entity Type:Organization
Organization Name:BEECHWOOD HEALTH CARE CENTER INC.
Other - Org Name:BEECHWOOD HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-810-7301
Mailing Address - Street 1:2235 MILLERSPORT HWY
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1219
Mailing Address - Country:US
Mailing Address - Phone:716-810-7000
Mailing Address - Fax:716-250-6204
Practice Address - Street 1:2235 MILLERSPORT HWY
Practice Address - Street 2:
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1297
Practice Address - Country:US
Practice Address - Phone:716-810-7000
Practice Address - Fax:716-250-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1451306N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00475329Medicaid
NY00475329Medicaid