Provider Demographics
NPI:1598007031
Name:BATAVIA HEALTH CARE CENTER
Entity Type:Organization
Organization Name:BATAVIA HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:III
Authorized Official - Credentials:CPA
Authorized Official - Phone:516-679-1500
Mailing Address - Street 1:257 STATE ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1044
Mailing Address - Country:US
Mailing Address - Phone:585-343-1300
Mailing Address - Fax:
Practice Address - Street 1:257 STATE ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1044
Practice Address - Country:US
Practice Address - Phone:585-343-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1801306N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility