OrganizationActive
Adirondack Manor Home for Adults
NPI 1538771597 · Assisted Living Facility · Queensbury, NY
Provider details
- NPI number
- 1538771597
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Grajales, Project Manager/Executive Assistant(347) 988-4535
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Home Health Agency251E00000X
Agencies
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
653 Bay Rd
Queensbury, NY 12804-1446
Phone: (718) 840-3355
Fax: (518) 244-9105
Street-level locationGet directions
Mailing address
2357 60th St
Brooklyn, NY 11204-2689
Other names (DBA / former)
- Doing business as
- Adirondack Manor Home Care Agency
- Doing business as
- Adirondack Manor Home for Adults Alp
- Doing business as
- Montcalm Manor Home for Adults
- Doing business as
- Scoita Masion
- Doing business as
- Valehaven Home for Adults
- Doing business as
- Willow Park Home for Adults
Registry dates
- Enumerated
- 2020-08-20
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.