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Villa Mary Immaculate

NPI 1144215625ActiveOrganization· Skilled Nursing Facility· Albany, NY

Skilled Nursing Facility in Albany, New York, registered in NPPES in September 2005. The authorized official on file is Glen Cooper, Executive Director. Enrolled in Medicare as part a provider - skilled nursing facility and part b supplier - clinic/group practice.

Overview

NPI1144215625
StatusActive
Entity typeOrganization
NPI issuedSep 12, 2005
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X0101305NNY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (NY); Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

Other Skilled Nursing Facility providers in Albany

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