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HEATHWOOD ASSISTED LIVING AT PENFIELD, INC.
NPI 1821486721
Assisted Living Facility in Penfield, NY

Active since December 30, 2014CLIA 33D2128368 · Waiver
100 ELDERWOOD CT, PENFIELD, NY 14526(585) 425-9663 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heathwood Assisted Living At Penfield, Inc. NPPES

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

HEATHWOOD ASSISTED LIVING AT PENFIELD, INC. (NPI 1821486721) is a healthcare organization registered as an assisted living facility in Penfield, New York and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Carla C Suero, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1821486721
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHEATHWOOD ASSISTED LIVING AT PENFIELD, INC.
Location Address100 ELDERWOOD CTPenfield, NY 14526-1765
Mailing Address100 Elderwood CtPenfield, NY 14526-1765 · (585) 425-9663
Phone(585) 425-9663
Organization SubpartNo
Authorized OfficialCarla C SueroPresident And Ceo · (716) 688-0111
Enumeration DateDecember 30, 2014
✔ NPI 1821486721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

100 ELDERWOOD CT, Penfield, NY 14526
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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 33D2128368

Heathwood Assisted Living At Penfield · Penfield, NY
Active · expires Mar 26, 2027
CLIA Number33D2128368
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 29, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Dallas Nelson
Laboratory Phone(585) 425-9663
Laboratory LocationHeathwood Assisted Living At Penfield100 Elderwood Court, Penfield, NY 14526
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 3

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

ELDERWOOD ASSISTED LIVING AT PENFIELD LLC
Assisted Living Facility
100 ELDERWOOD CT
PENFIELD, NY 14526
Monroe County (585) 425-9663
MRS. KATHRYN A THOMAS
Case Manager/Care Coordinator
100 ELDERWOOD CT
PENFIELD, NY 14526
Monroe County (585) 425-9663
THERAPY SERVICES PT AND OT
Physical Therapist
100 ELDERWOOD CT
PENFIELD, NY 14526
Monroe County (479) 201-6091

Frequently Asked Questions

What is HEATHWOOD ASSISTED LIVING AT PENFIELD, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1821486721, enumerated as an "organization" on December 30, 2014.

Where is the provider located?

The provider is located at 100 ELDERWOOD CT PENFIELD, NY 14526 and the phone number is (585) 425-9663.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.