Organization
WNY CATHOLIC LONG TERM CARE, INC.
Active
Other names
Father Baker Manor
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GLEASON (SENIOR VICE PRESIDENT HOME AND COMM)
(716) 706-2439
Entity
Organization
Contact information
Practice address
6400 POWERS RD, ORCHARD PARK, NY 14127-4841
(716) 667-0001
(716) 667-0028
Mailing address
6400 POWERS RD, ORCHARD PARK, NY 14127-4841
(716) 667-0001
(716) 667-0028
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
1435302N
NY
314000000X
Skilled Nursing Facility
Primary
1435302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011455101
UNIVERA
NY
05
—
01487076
—
NY
01
—
16
IHA
NY
01
—
332
HEALTHNOW
NY
01
—
D7
IHA
NY
Enumeration date
09/20/2005
Last updated
07/16/2025
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