Ronald R. Johnson in Forestville - Adult Care Home
Ronald R. Johnson - NPI 1013125467
Ronald R. Johnson is a Adult Care Home in Forestville, New York. Ronald R. Johnson practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Ronald R. Johnson is 1013125467. The last update date is 2020-08-22.
Ronald R. Johnson's current location address is 2063 Route 83, Forestville, New York. You can contact this provider via phone number 7169652644 and fax number 7169654163. The mailing address for Ronald R. Johnson is 2063 Route 83, Forestville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ronald R. Johnson |
|---|---|
| Address | 2063 Route 83, Forestville, New York |
| Phone Number | 7169652644 |
| Fax Number | 7169654163 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnson Ray Ronald |
| Telephone Number | 7165958784 |
NPI Number Detail
| NPI Number | 1013125467 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2063 Route 83 |
|---|---|
| City | Forestville |
| State | New York (NY) |
| Post Code | 140629639 |
| Phone Number | 7169652644 |
| Fax Number | 7169654163 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 0671A003 |
|
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 en |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2731313 | NY | -- | |
| 0671A003 | NY | DOH LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ronald R. Johnson?
The Ronald R. Johnson has been issued the NPI (National Provider Identifier) 1013125467 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Ronald R. Johnson is physically located?
The Ronald R. Johnson is physically situated at the following address: 2063 Route 83, Forestville, NY, 140629639.
What is the Ronald R. Johnson's specialty and taxonomy code?
The Ronald R. Johnson's specialty is Adult Care Home, and the corresponding taxonomy code is 311Za0620X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013125467 to Ronald R. Johnson?
The Ronald R. Johnson received its 1013125467 assignment from the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information regarding Ronald R. Johnson most recently updated?
The details pertaining to the Ronald R. Johnson, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC