Healthcare Provider Details

I. General information

NPI: 1801882485
Provider Name (Legal Business Name): UNITED HELPERS NURSING HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 06/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 STATE HIGHWAY 68
OGDENSBURG NY
13669-5414
US

IV. Provider business mailing address

8101 STATE HIGHWAY 68
OGDENSBURG NY
13669-5414
US

V. Phone/Fax

Practice location:
  • Phone: 315-393-0730
  • Fax: 315-393-9170
Mailing address:
  • Phone: 315-393-0730
  • Fax: 315-393-9170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4401302N
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: KELLY LOWERY
Title or Position: VP FINANCE
Credential:
Phone: 315-393-3074