Provider Demographics
NPI:1669184446
Name:BUCKINGHAM HEIGHTS LLC
Entity type:Organization
Organization Name:BUCKINGHAM HEIGHTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUCCESSOR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:HAMISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-839-4000
Mailing Address - Street 1:10 LAFAYETTE SQ.
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:716-839-4000
Mailing Address - Fax:
Practice Address - Street 1:1824 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:GLASSTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033
Practice Address - Country:US
Practice Address - Phone:860-647-1695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility