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JOHNSON LLHCSA FORESTVILLE
NPI 1477754703
Custodial Care Facility - Adult Care Home in Forestville, NY

Active since May 31, 2007
2063 ROUTE 83, FORESTVILLE, NY 14062(716) 965-2644 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnson Llhcsa Forestville NPPES

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

JOHNSON LLHCSA FORESTVILLE (NPI 1477754703) is a healthcare organization registered as an adult care home in Forestville, New York and active in the NPI registry since May 2007. The organization lists Dean Stanley Brown, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1477754703
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRONALD R. JOHNSON
Location Address2063 ROUTE 83Forestville, NY 14062-9639
Mailing Address2063 Route 83Forestville, NY 14062-9639 · (716) 965-2644
Phone(716) 965-2644
Organization SubpartNo
Authorized OfficialDean Stanley BrownFinance Director · (716) 965-2644
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477754703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NY · 0671A002
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2063 ROUTE 83, Forestville, NY 14062
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Other Names 1

Doing Business AsJohnson Llhcsa Forestville

Other Identifiers 1

Medicaid01996767NY

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 Ronald R. Johnson's NPI number?

The NPI number for Ronald R. Johnson is 1477754703. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Johnson Llhcsa Forestville.

Where is Ronald R. Johnson located?

Ronald R. Johnson is located at 2063 Route 83, Forestville, NY 14062. The listed phone number is (716) 965-2644.

What is Ronald R. Johnson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Ronald R. Johnson was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.