Healthcare Provider Details

I. General information

NPI: 1003803271
Provider Name (Legal Business Name): SENECA HEALTH CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2987 SENECA ST
WEST SENECA NY
14224-2648
US

IV. Provider business mailing address

2987 SENECA ST
WEST SENECA NY
14224-2648
US

V. Phone/Fax

Practice location:
  • Phone: 716-828-0500
  • Fax: 716-828-1377
Mailing address:
  • Phone: 716-828-0500
  • Fax: 716-828-1377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1474301N
License Number StateNY

VIII. Authorized Official

Name: MR. RALPH ROSSO
Title or Position: CFO
Credential:
Phone: 716-829-1554