Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

104 Old Niagara Road Operating Company, LLC

Organization Skilled Nursing Facility · NPI 1902339054

104 Old Niagara Road Operating Company, LLC is a Skilled Nursing Facility in Lockport, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Old Niagara Rd
Lockport, NY 14094-1500
Phone: (716) 434-8039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1902339054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Rubin — Co-Chief Executive Officer · (716) 817-5075
Other names Elderwood At Lockport; Elderwood At Lockport
NPI enumeratedApril 5, 2017
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023
Mailing address500 Seneca St Ste 100, Buffalo, NY 14204-1963

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