Organization Active NPI

Schenectady Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Schenectady, NY
National Provider Identifier
1053308205
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4601306N Issued in NY
Legal business name
SCHENECTADY NURSING AND REHABILITATION CENTER, LLC
Practice address
1940 Hamburg St
Schenectady, NY 12304-4791
Phone
(518) 370-5051
Fax
(518) 374-6271
NPI assigned
Oct 3, 2005
Organization subpart
Yes
Parent organization
DMN MANAGEMENT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrick Richard Martone
Title
C.E.O.
Phone
(518) 346-9640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4601306N NY Primary

Addresses

Primary practice location

1940 Hamburg St
Schenectady, NY 12304-4791

Mailing address

1940 Hamburg St
Schenectady, NY 12304-4791
Phone (518) 370-5051

Other identifiers 1

IdentifierTypeStateIssuer
01239972MedicaidNY

Other names 1

  • The Dutch Manor Nursing and Rehabilitation Centre Other name

National Provider Directory

National Provider Directory
Part of
Stanton Rehab Centre

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1053308205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HAMBURG ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123044791",
            "telephone_number": "518-370-5051",
            "fax_number": "518-374-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HAMBURG ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123044791",
            "telephone_number": "518-370-5051",
            "fax_number": "518-374-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENECTADY NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DMN MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "MARTONE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "518-346-9640"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4601306N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01239972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dutch Manor Nursing and Rehabilitation Centre",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.