ELDERWOOD OF LAKESIDE AT BROCKPORT
NPI 1245784271
Skilled Nursing Facility in Brockport, NY
About Elderwood Of Lakeside At Brockport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELDERWOOD OF LAKESIDE AT BROCKPORT (NPI 1245784271) is a healthcare organization registered as a skilled nursing facility in Brockport, New York and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jeffrey Rubin, Co- Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 33D0654836
Elderwood Of Lakeside At Brockport · Brockport, NYNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Elderwood Of Lakeside At Brockport (CMS certification number 335569), from CMS Care Compare.
Elderwood Of Lakeside At Brockport
Nursing home · Brockport, NYCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROCKPORT, NY 14420
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 170 West Avenue Operating Company, LLC's NPI number?
The NPI number for 170 West Avenue Operating Company, LLC is 1245784271. It was assigned to this organization in the NPPES registry on August 8, 2016. The provider is doing business as Elderwood Of Lakeside At Brockport.
Where is 170 West Avenue Operating Company, LLC located?
170 West Avenue Operating Company, LLC is located at 170 West Ave, Brockport, NY 14420. The listed phone number is (585) 395-6052.
What is 170 West Avenue Operating Company, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does 170 West Avenue Operating Company, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0654836) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is 170 West Avenue Operating Company, LLC a Medicare-certified nursing home?
Yes. Elderwood Of Lakeside At Brockport is a Medicare-certified nursing home with 120 certified beds.
What quality rating does 170 West Avenue Operating Company, LLC have?
CMS rates Elderwood Of Lakeside At Brockport 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
When was this NPI record last updated?
The NPPES record for 170 West Avenue Operating Company, LLC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.