Healthcare Provider Details

I. General information

NPI: 1629295720
Provider Name (Legal Business Name): EPISCOPAL RESIDENTIAL HEALTH CARE FACILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 RHODE ISLAND ST
BUFFALO NY
14213-2142
US

IV. Provider business mailing address

24 RHODE ISLAND ST
BUFFALO NY
14213-2142
US

V. Phone/Fax

Practice location:
  • Phone: 716-614-0666
  • Fax: 716-614-0840
Mailing address:
  • Phone: 716-614-0666
  • Fax: 716-614-0840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1401907L
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1401332N
License Number StateNY

VIII. Authorized Official

Name: MR. JAMES JULIANO
Title or Position: CFO AND VICE PRESIDENT
Credential:
Phone: 716-614-0666