Active NPI
Gouverneur Nursing Home Company Inc.
- Skilled Nursing Facility
- Gouverneur, NY
National Provider Identifier
1104829530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GOUVERNEUR NURSING HOME COMPANY INC.
- Practice address
- 57 W Barney St
Gouverneur, NY 13642-1040 - Phone
- (315) 287-1000
- Fax
- (315) 535-9207
- NPI assigned
- May 31, 2005
- 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
- Patricia Rogers
- Title
- Patient Accounting Supervisor
- Phone
- (315) 287-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NY | Primary |
Addresses
Primary practice location
57 W Barney St
Gouverneur, NY 13642-1040
Mailing address
57 W Barney St
Gouverneur, NY 13642-1040
Phone (315) 287-1000
Other names 1
- Kinney Nursing Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1104829530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W BARNEY ST",
"city": "GOUVERNEUR",
"state": "NY",
"postal_code": "136421040",
"telephone_number": "315-287-1000",
"fax_number": "315-535-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W BARNEY ST",
"city": "GOUVERNEUR",
"state": "NY",
"postal_code": "136421040",
"telephone_number": "315-287-1000",
"fax_number": "315-535-9207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOUVERNEUR NURSING HOME COMPANY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PATIENT ACCOUNTING SUPERVISOR",
"authorized_official_telephone_number": "315-287-1000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kinney Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gouverneur, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.