Organization
SCHOFIELD RESIDENCE INC.
Active
Other names
Schofield Residence - LTHHCP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY GERLACH (PRESIDENT)
(716) 874-1566
Entity
Organization
Contact information
Practice address
2757 ELMWOOD AVE, KENMORE, NY 14217-1698
(716) 874-2600
(716) 873-2265
Mailing address
3333 ELMWOOD AVE, KENMORE, NY 14217-1013
(716) 874-1566
(716) 874-6942
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1404904L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011419602
UNIVERA
NY
05
—
00891492
—
NY
01
—
536000
BLUE CROSS BLUE SHIELD
NY
01
—
8313853
INDEPENDENT HEALTH
NY
Enumeration date
03/23/2006
Last updated
06/17/2020
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