Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

112 Ski Bowl Road Operating Company, LLC

Organization Skilled Nursing Facility · NPI 1205345501

112 Ski Bowl Road Operating Company, LLC is a Skilled Nursing Facility in North Creek, 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.

See every abbreviation used in this directory →

Practice location Address checks out

112 Ski Bowl Rd
North Creek, NY 12853-2607
Phone: (518) 251-2447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1205345501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Rubin — Co-Chief Executive Officer · (716) 817-5075
Other names Elderwood At North Creek
NPI enumeratedSeptember 29, 2017
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023
Mailing address500 Seneca St Ste 100, Buffalo, NY 14204-1963

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in North Creek