Organization
SCHOFIELD RESIDENCE INC.
Active
Other names
Schofield Residence - SNF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY GERLACH (PRESIDENT)
(716) 874-1566
Entity
Organization
Contact information
Practice address
3333 ELMWOOD AVE, BUFFALO, NY 14217-1013
(716) 874-1566
(716) 874-6942
Mailing address
3333 ELMWOOD AVE, KENMORE, NY 14217-1013
(716) 874-1566
(716) 874-6942
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1404300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011419601
UNIVERA
NY
05
—
00475425
—
NY
01
—
286
BLUE CROSS BLUE SHIELD
NY
01
—
K5
INDEPENDENT HEALTH
NY
Enumeration date
03/27/2006
Last updated
06/17/2020
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