JOHNSON LLHCSA FREDONIA
NPI 1780885012
Custodial Care Facility - Adult Care Home in Fredonia, NY

Q: What is Ronald R. Johnson's NPI number?

The NPI number for Ronald R. Johnson is 1780885012. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Johnson Llhcsa Fredonia.

Q: 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.

Q: 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 6 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.

Active since May 31, 2007

4883 W MAIN RD, FREDONIA, NY 14063(716) 679-4883(716) 679-4881 Get Directions Write a Review

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

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About Johnson Llhcsa Fredonia NPPES

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

JOHNSON LLHCSA FREDONIA (NPI 1780885012) is a healthcare organization registered as an adult care home in Fredonia, 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

NPI1780885012

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameRONALD R. JOHNSON

Location Address4883 W MAIN RDFredonia, NY 14063-9509

Mailing Address4883 W Main RdFredonia, NY 14063-9509 · (716) 679-4883 · Fax (716) 679-4881

Phone(716) 679-4883

Fax(716) 679-4881

Organization SubpartNo

Authorized OfficialDean Stanley BrownFinance Director · (716) 965-2644

Enumeration DateMay 31, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1780885012 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 · 0671A001

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.

4883 W MAIN RD, Fredonia, NY 14063

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Other Names 1

Doing Business AsJohnson Llhcsa Fredonia

Other Identifiers 1

Medicaid01996758NY

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 1780885012. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Johnson Llhcsa Fredonia.

Where is Ronald R. Johnson located?

Ronald R. Johnson is located at 4883 W Main Rd, Fredonia, NY 14063. The listed phone number is (716) 679-4883.

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 6 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.