Organization
INTEGRATED CARE SYSTEMS, LLC
Active
Other names
Newfane Rehabilitation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L KEPNER (CHIEF FINANCIAL OFFICER)
(716) 514-5527
Entity
Organization
Contact information
Practice address
2709 TRANSIT RD, NEWFANE, NY 14108-9701
(716) 778-7111
(716) 778-9218
Mailing address
2709 TRANSIT RD, NEWFANE, NY 14108-9701
(716) 778-7111
(716) 778-9218
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3154302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011421001
UNIVERA BILLING #
NY
05
—
01793439
—
NY
01
—
05
IND. HEALTH BILLING #
NY
01
—
231
BCBS WNY BILLING #
NY
05
—
3154302N
—
NY
Enumeration date
10/01/2005
Last updated
04/01/2008
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