Active NPI
Elant at Fishkill, Inc.
- Skilled Nursing Facility
- Beacon, NY
National Provider Identifier
1073659082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1355300N
- Legal business name
- ELANT AT FISHKILL, INC.
- Practice address
- 22 Robert R Kasin Way
Beacon, NY 12508-1559 - Phone
- (845) 291-3700
- NPI assigned
- Jan 29, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annmarie Covone
- Title
- VP Comptroller
- Phone
- (845) 291-3759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1355300N | NY | Primary |
Addresses
Primary practice location
22 Robert R Kasin Way
Beacon, NY 12508-1559
Mailing address
46 Harriman Dr
Goshen, NY 10924-2410
Phone (845) 291-3759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308636 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073659082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 HARRIMAN DR",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109242410",
"telephone_number": "845-291-3759",
"fax_number": "845-291-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ROBERT R KASIN WAY",
"city": "BEACON",
"state": "NY",
"postal_code": "125081559",
"telephone_number": "845-291-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELANT AT FISHKILL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COVONE",
"authorized_official_first_name": "ANNMARIE",
"authorized_official_title_or_position": "VP COMPTROLLER",
"authorized_official_telephone_number": "845-291-3759"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "1355300N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00308636",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beacon, 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.