Ronald R. Johnson in Fredonia - Adult Care Home

Ronald R. Johnson - NPI 1780885012

Ronald R. Johnson is a Adult Care Home in Fredonia, 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 1780885012. The last update date is 2020-08-22.

Ronald R. Johnson's current location address is 4883 W Main Rd, Fredonia, New York. You can contact this provider via phone number 7166794883 and fax number 7166794881. The mailing address for Ronald R. Johnson is 4883 W Main Rd, Fredonia, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ronald R. Johnson
Address 4883 W Main Rd, Fredonia, New York
Phone Number 7166794883
Fax Number 7166794881
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FINANCE DI
Authorized Official Name Brown Stanley Dean
Telephone Number 7169652644

NPI Number Detail

NPI Number 1780885012
Provider Enumeration Date 2007-05-31
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4883 W Main Rd
City Fredonia
State New York (NY)
Post Code 140639509
Phone Number 7166794883
Fax Number 7166794881

Provider's Primary Taxonomy Detail

Speciality Adult Care Home
Taxonomy 311Za0620X
Licence No 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 en

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1996758 NY --

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FAQs about Ronald R. Johnson

What is the unique identifier code issued to Ronald R. Johnson by the Centers for Medicare & Medicaid Services?

The Ronald R. Johnson has been assigned the NPI (National Provider Identifier) 1780885012. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Ronald R. Johnson's facilities are situated?

The facilities of Ronald R. Johnson are physically located at the following address: 4883 W Main Rd, Fredonia, NY, 140639509.

What is Ronald R. Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ronald R. Johnson is Adult Care Home, and the corresponding taxonomy classification code for this specialized field is 311Za0620X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780885012 to Ronald R. Johnson?

The Ronald R. Johnson received its 1780885012 assignment from the Centers for Medicare & Medicaid Services on 2007-05-31.

As of what date were the Ronald R. Johnson's details last updated?

The information pertaining to the Ronald R. Johnson, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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