Organization Active NPI

Elant at Fishkill, Inc

  • Home Health Agency
  • Beacon, NY
National Provider Identifier
1083750467
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1355300N Issued in NY
Legal business name
ELANT AT FISHKILL, INC
Practice address
22 Robert R Kasin Way
Beacon, NY 12508-1559
Phone
(845) 291-3700
Fax
(845) 291-3833
NPI assigned
Jan 30, 2007
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Mr. Todd A Whitney
Title
Executive VP, Ceo
Phone
(845) 291-3713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 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) 291-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Elant at Fishkill Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

46 Harriman Dr
Goshen, NY 10924
Phone (845) 291-3700

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 27, 2017 Change of OwnershipThis provider was the seller Fishkill Center for Rehabilitation and NursingCCN 337218, NY, NPI 1841728664

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1083750467",
    "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": "845-291-3700",
            "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",
            "fax_number": "845-291-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANT AT FISHKILL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE VP, CEO",
        "authorized_official_telephone_number": "845-291-3713",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1355300N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

Verify at the official NPI Registry.