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HERITAGE MANOR OF LOCKPORT
NPI 1043481831
Custodial Care Facility - Adult Care Home in Lockport, NY

Active since March 19, 2008CLIA 33D2221916 · Waiver
41 LEXINGTON CT, LOCKPORT, NY 14094(716) 433-7626(716) 433-7769 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Heritage Manor Of Lockport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE MANOR OF LOCKPORT (NPI 1043481831) is a healthcare organization registered as an adult care home in Lockport, New York and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Louis John Stich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043481831
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameHERITAGE MANOR OF LOCKPORT
Location Address41 LEXINGTON CTLockport, NY 14094-5365
Mailing Address41 Lexington CtLockport, NY 14094-5365 · (716) 433-7626 · Fax (716) 433-7769
Phone(716) 433-7626
Fax(716) 433-7769
Organization SubpartNo
Authorized OfficialLouis John StichAdministrator · (716) 433-7626
Enumeration DateMarch 19, 2008
✔ NPI 1043481831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NY · 500-F-093
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
41 LEXINGTON CT, Lockport, NY 14094
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2221916

Heritage Manor Of Lockport · Lockport, NY
Active · expires Mar 26, 2027
CLIA Number33D2221916
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 26, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorAmandeep Pal
Laboratory Phone(716) 433-7626
Laboratory LocationHeritage Manor Of Lockport41 Lexington Ct, Lockport, NY 14094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Manor Of Lockport's NPI number?

The NPI number for Heritage Manor Of Lockport is 1043481831. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is Heritage Manor Of Lockport located?

Heritage Manor Of Lockport is located at 41 Lexington Ct, Lockport, NY 14094. The listed phone number is (716) 433-7626.

What is Heritage Manor Of Lockport's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Heritage Manor Of Lockport hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2221916) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heritage Manor Of Lockport was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.