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IDEAL SENIOR LIVING CENTER HOUSING CORP
NPI 1245405489
Assisted Living Facility in Endicott, NY

Active since April 29, 2008CLIA 33D0860383 · Waiver
600 HIGH AVE, ENDICOTT, NY 13760(607) 786-7300(607) 786-7417 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ideal Senior Living Center Housing Corp NPPES

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

IDEAL SENIOR LIVING CENTER HOUSING CORP (NPI 1245405489) is a healthcare organization registered as an assisted living facility in Endicott, New York and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Marilyn Barbieri, Controller, as its authorized official.

NPPES Registry Identity

NPI1245405489
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameIDEAL SENIOR LIVING CENTER HOUSING CORP
Location Address600 HIGH AVEEndicott, NY 13760-4789
Mailing Address508 High AveEndicott, NY 13760-4719 · (607) 786-7307 · Fax (607) 786-7417
Phone(607) 786-7300
Fax(607) 786-7417
Organization SubpartNo
Authorized OfficialMarilyn BarbieriController · (607) 786-7307
Enumeration DateApril 29, 2008
Last NPPES UpdateApril 10, 2015
✔ NPI 1245405489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NY · 030E039
Definition
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.
600 HIGH AVE, Endicott, NY 13760
Open in Google Maps ↗

Other Identifiers 1

Medicaid01945399NY

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 33D0860383

Ideal Senior Living Center · Endicott, NY
Active · expires Mar 26, 2027
CLIA Number33D0860383
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Spencer M. Eisenberg
Laboratory Phone(607) 786-7308
Laboratory LocationIdeal Senior Living Center601 High Avenue, Endicott, NY 13760
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISLRNC LLC
Skilled Nursing Facility
600 HIGH AVE
ENDICOTT, NY 13760
Broome County (607) 786-7300
ISLACF LLC
Assisted Living Facility
600 HIGH AVE
ENDICOTT, NY 13760
Broome County (607) 786-7300
NATALIE BRAMAN MS, CCC-SLP
Speech-Language Pathologist
600 HIGH AVE
ENDICOTT, NY 13760
Broome County (607) 786-7300
SAMANTHA FRAILEY MS OTR/L
Occupational Therapist
600 HIGH AVE
ENDICOTT, NY 13760
Broome County (607) 786-7300

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 Ideal Senior Living Center Housing Corp's NPI number?

The NPI number for Ideal Senior Living Center Housing Corp is 1245405489. It was assigned to this organization in the NPPES registry on April 29, 2008.

Where is Ideal Senior Living Center Housing Corp located?

Ideal Senior Living Center Housing Corp is located at 600 High Ave, Endicott, NY 13760. The listed phone number is (607) 786-7300.

What is Ideal Senior Living Center Housing Corp's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Ideal Senior Living Center Housing Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0860383) 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 Ideal Senior Living Center Housing Corp was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.