Organization
MCAULEY RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P MACHOLZ (CHIEF FINANCIAL OFFICER)
(716) 828-2974
Entity
Organization
Contact information
Practice address
1503 MILITARY RD, KENMORE, NY 14217-1339
(716) 447-6600
Mailing address
1503 MILITARY RD, KENMORE, NY 14217-1339
(716) 447-6600
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
1404000N
NY
314000000X
Skilled Nursing Facility
Primary
1404000N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011427302
UNIVERA
NY
05
—
00475287
—
NY
01
—
141
HEALTHNOW
NY
01
—
57
IHA
NY
01
—
V9
IHA
NY
Enumeration date
09/20/2005
Last updated
07/16/2025
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