AMBER COURT
NPI 1104954296
Assisted Living Facility in Westbury, NY

NPI Status: Active since March 01, 2007

Contact Information

3400 BRUSH HOLLOW RD
WESTBURY, NY
ZIP 11590
Phone: (516) 334-3838
Fax: (516) 334-3866

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Assisted Living Facility

About AMBER COURT

This page provides the complete NPI Profile along with additional information for Amber Court, a provider established in Westbury, New York operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104954296 assigned on March 2007. The practitioner's primary taxonomy code is 310400000X with license number 400-F-295 (NY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Amber Court. The authorized official of this NPI record is Mr. Raphael Weiss (Administrator)

NPI: 1104954296
Provider Legal Name: REGENCY SENIOR LIVING ALP
Other Organization Name: AMBER COURT
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 3400 BRUSH HOLLOW RD WESTBURY, NY 11590
Location Phone: (516) 334-3838
Location Fax: (516) 334-3866
Mailing Address: 3400 BRUSH HOLLOW RD WESTBURY, NY 11590
Mailing Phone: (516) 334-3838
Mailing Fax: (516) 334-3866
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-01-2007
Last Update Date: 08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Assisted Living Facility
Taxonomy Code: 310400000X
Type: Nursing & Custodial Care Facilities
License No.: 400-F-295
License State: NY
Taxonomy Description: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. RAPHAEL WEISS
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (516) 334-3838

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
02228980	MEDICAID (05)	NY

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	0	4	9	5	4	2	9	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	0	4	18	5	8	2	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 5 + 8 + 2 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1104954296 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.