FREWSBURG REST HOME, INC.
NPI 1316310659
Nursing Care in Frewsburg, NY

Active since November 09, 2015CLIA 33D2175673 · Waiver
106 W MAIN ST, FREWSBURG, NY 14738(716) 569-3095(716) 569-5775 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Frewsburg Rest Home, Inc. NPPES

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

FREWSBURG REST HOME, INC. (NPI 1316310659) is a healthcare organization registered as a nursing care in Frewsburg, New York and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Terri Ingersoll, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1316310659
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameFREWSBURG REST HOME, INC.
Location Address106 W MAIN STFrewsburg, NY 14738-9631
Mailing Address106 W Main StFrewsburg, NY 14738-9631 · (716) 569-3095 · Fax (716) 569-5775
Fax(716) 569-5775
Organization SubpartNo
Authorized OfficialTerri IngersollChief Operating Officer · (716) 483-2876
Enumeration DateNovember 9, 2015
NPI 1316310659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in NY · 060-F-035
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
106 W MAIN ST, Frewsburg, NY 14738

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 33D2175673

Frewsburg Rest Home · Frewsburg, NY
Active · expires Mar 26, 2027
CLIA Number33D2175673
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 26, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jason Ford
Laboratory Phone(716) 569-3095
Laboratory LocationFrewsburg Rest Home106 W Main Street, Frewsburg, NY 14738
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
106 W MAIN ST
FREWSBURG, NY 14738

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 Frewsburg Rest Home, Inc.'s NPI number?

The NPI number for Frewsburg Rest Home, Inc. is 1316310659. It was assigned to this organization in the NPPES registry on November 9, 2015.

Where is Frewsburg Rest Home, Inc. located?

Frewsburg Rest Home, Inc. is located at 106 W Main St, Frewsburg, NY 14738. The listed phone number is (716) 569-3095.

What is Frewsburg Rest Home, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Frewsburg Rest Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2175673) 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 Frewsburg Rest Home, Inc. was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.