Organization Active NPI

KRNH, Inc

Doing business as Northeast Center for Special Care

  • Skilled Nursing Facility
  • Lake Katrine, NY
National Provider Identifier
1053426668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5501310N Issued in NY
Legal business name
KRNH, INC
Doing business as
Northeast Center for Special Care
Practice address
300 Grant Ave
Lake Katrine, NY 12449-5340
Phone
(845) 336-3500
Fax
(845) 382-1417
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Anthony P Marmo
Title
Administrator
Phone
(845) 336-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5501310N NY Primary

Addresses

Primary practice location

300 Grant Ave
Lake Katrine, NY 12449-5340

Mailing address

300 Grant Ave
Lake Katrine, NY 12449-5340
Phone (845) 336-3500

Other identifiers 1

IdentifierTypeStateIssuer
01928716MedicaidNY

Other names 1

  • Northeast Center for Special Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053426668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRANT AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495340",
            "telephone_number": "845-336-3500",
            "fax_number": "845-382-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRANT AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495340",
            "telephone_number": "845-336-3500",
            "fax_number": "845-382-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRNH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARMO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-336-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5501310N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01928716",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Center for Special Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Katrine, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.