Provider Demographics
NPI:1982998795
Name:STAMFORD HEALTH CARE SOCIETY
Entity Type:Organization
Organization Name:STAMFORD HEALTH CARE SOCIETY
Other - Org Name:ROBINSON TERRRACE SENIOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HASAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-652-2960
Mailing Address - Street 1:1 BUNTLINE DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:NY
Mailing Address - Zip Code:12167-1237
Mailing Address - Country:US
Mailing Address - Phone:607-652-2960
Mailing Address - Fax:607-652-2962
Practice Address - Street 1:ONE BUNTLINE DR
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:NY
Practice Address - Zip Code:12167
Practice Address - Country:US
Practice Address - Phone:607-652-2960
Practice Address - Fax:607-652-2962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility