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FAWN RIDGE SENIOR LIVING
NPI 1417319021
Assisted Living Facility in Troy, NY

Active since March 23, 2016
2902 TIBBITS AVE, TROY, NY 12180(518) 273-2040 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fawn Ridge Senior Living NPPES

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

FAWN RIDGE SENIOR LIVING (NPI 1417319021) is a healthcare organization registered as an assisted living facility in Troy, New York and active in the NPI registry since March 2016. The organization lists Neil Zelman, Coo, as its authorized official.

NPPES Registry Identity

NPI1417319021
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWOODLAND VILLAGE LLC
Location Address2902 TIBBITS AVETroy, NY 12180-7077
Mailing Address2902 Tibbits AveTroy, NY 12180-7077 · (518) 273-2040
Phone(518) 273-2040
Organization SubpartNo
Authorized OfficialNeil ZelmanCoo · (845) 357-7387
Enumeration DateMarch 23, 2016
✔ NPI 1417319021 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 · 600-F-248
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.
2902 TIBBITS AVE, Troy, NY 12180
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Other Names 1

Doing Business AsFawn Ridge Senior Living

Other Providers at the Same Location NPPES 3

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

CARINA ROSS
Occupational Therapist
2902 TIBBITS AVE
TROY, NY 12180
Rensselaer County (518) 225-9124
THE ELIOT AT TROY LLC
Home Health
2902 TIBBITS AVE
TROY, NY 12180
Rensselaer County (518) 273-2040
KARA EILEEN HUBER
Physical Therapist
2902 TIBBITS AVE
TROY, NY 12180
Rensselaer County (585) 613-6198

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 Woodland Village LLC's NPI number?

The NPI number for Woodland Village LLC is 1417319021. It was assigned to this organization in the NPPES registry on March 23, 2016. The provider is doing business as Fawn Ridge Senior Living.

Where is Woodland Village LLC located?

Woodland Village LLC is located at 2902 Tibbits Ave, Troy, NY 12180. The listed phone number is (518) 273-2040.

What is Woodland Village LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Woodland Village LLC was last updated on March 23, 2016. 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.