Carthage Nursing and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2238303N Issued in NY

Legal business name

CARTHAGE NURSING AND REHABILITATION CENTER LLC

Doing business as

The Country Manor Nursing and Rehabilitation Centre

Practice address

1045 West St
Carthage, NY 13619-9762

Phone

(315) 493-3221

Fax

(315) 493-6523

NPI assigned

Jun 19, 2006

Last updated

Nov 22, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

DMN MANAGEMENT SERVICES , LLCAs reported in NPPES

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

Authorized official

Name

Patrick Martone

Title

Ceo

Phone

(518) 346-9640

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE COUNTRY MANOR NURSING AND REHABILITATION CENTRE Doing business as

Part of

Stanton Rehab Centre

Locations

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1073558425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199762",
            "telephone_number": "315-493-3221",
            "fax_number": "315-493-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199762",
            "telephone_number": "315-493-3221",
            "fax_number": "315-493-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DMN MANAGEMENT SERVICES , LLC",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "MARTONE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-346-9640"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2238303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01192007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE COUNTRY MANOR NURSING AND REHABILITATION CENTRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carthage Area Rescue Squad Inc
• Carthage Care at Home
• Carthage Central School District
• Carthage Dental Health Group, LLC
• Carthage Medical Imaging Consultants, PLLC
• Miriam Katherine Chalom
• Kendra Jo Chisamore, SLP
• Debra Lou Clark, LMHC NCC
• Katie Marie Clough-Perin, D.D.S.
• CLR Carthage LLC (Carthage Center for Rehabilitation and Nursing)

• Skilled Nursing Facility in Carthage, NY
• Providers in Carthage, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.