MEMORY GARDEN AT TANGLEWOOD MANOR, INC
NPI 1568891810
Alzheimer Center (Dementia Center) in Jamestown, NY

Q: What is Memory Garden At Tanglewood Manor, Inc's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Active since November 07, 2013CLIA 33D2176079 · Waiver

560 FAIRMOUNT AVE, JAMESTOWN, NY 14701(716) 483-2876 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Memory Garden At Tanglewood Manor, Inc NPPES

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

MEMORY GARDEN AT TANGLEWOOD MANOR, INC (NPI 1568891810) is a healthcare organization registered as an alzheimer center (dementia center) in Jamestown, New York and active in the NPI registry since November 2013. 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

NPI1568891810

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameMEMORY GARDEN AT TANGLEWOOD MANOR, INC

Location Address560 FAIRMOUNT AVEJamestown, NY 14701-2749

Mailing Address560 Fairmount AveJamestown, NY 14701-2749 · (716) 483-2876

Phone(716) 483-2876

Organization SubpartNo

Authorized OfficialTerri IngersollChief Operating Officer · (716) 483-2876

Enumeration DateNovember 7, 2013

✔ NPI 1568891810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

License✔ Licensed in NY · 060F040

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

560 FAIRMOUNT AVE, Jamestown, NY 14701

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Other Identifiers 1

Medicaid03369835NY

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 33D2176079

Memory Garden · Jamestown, NY

Active · expires Mar 26, 2027

CLIA Number33D2176079

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 9, 2019

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Jason Ford

Laboratory Phone(716) 488-9434

Laboratory LocationMemory Garden564 Fairmount Ave, Jamestown, NY 14701

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Memory Garden At Tanglewood Manor, Inc's NPI number?

The NPI number for Memory Garden At Tanglewood Manor, Inc is 1568891810. It was assigned to this organization in the NPPES registry on November 7, 2013.

Where is Memory Garden At Tanglewood Manor, Inc located?

Memory Garden At Tanglewood Manor, Inc is located at 560 Fairmount Ave, Jamestown, NY 14701. The listed phone number is (716) 483-2876.

What is Memory Garden At Tanglewood Manor, Inc's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Memory Garden At Tanglewood Manor, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2176079) 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 Memory Garden At Tanglewood Manor, Inc was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.