MEDICARE: NIAGARA FRONTIER METHODIST HOME, INC. D/B/A BEECHWOOD RESIDENCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	1451303N	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942340112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIAGARA FRONTIER METHODIST HOME, INC. D/B/A BEECHWOOD RESIDENCE

Provider Business Mailing Address
First Line	:	2235 MILLERSPORT HWY
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1219
Country	:	US
Telephone Number	:	716-504-1999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2235 MILLERSPORT HWY
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1219
Country	:	US
Telephone Number	:	716-504-1999
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT, CEO
Name	:	MR. ROBERT R. MEISS
Credential	:
Telephone Number	:	716-504-1999

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	06/20/2008

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