Organization Active NPI

Resurrection Nursing Home

  • Skilled Nursing Facility
  • Castleton, NY
National Provider Identifier
1114913480
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RESURRECTION NURSING HOME
Practice address
90 N Main St
Castleton, NY 12033-1006
Phone
(518) 732-7617
Fax
(518) 732-4211
NPI assigned
Sep 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Edward Bell
Title
Administrator
Phone
(518) 732-7617

Specialties & licenses 1

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

Addresses

Primary practice location

90 N Main St
Castleton, NY 12033-1006

Mailing address

90 N Main St
Castleton, NY 12033-1006
Phone (518) 732-7617

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114913480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N MAIN ST",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120331006",
            "telephone_number": "518-732-7617",
            "fax_number": "518-732-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N MAIN ST",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120331006",
            "telephone_number": "518-732-7617",
            "fax_number": "518-732-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-732-7617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton, 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.

Verify at the official NPI Registry.