CHC Carrollton Nursing & Rehab Ctr, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10221753 Issued in GA

Legal business name

CHC CARROLLTON NURSING & REHAB CTR, LLC

Practice address

4 West Red Oak Lane
Suite 201
White Plains, NY 10604-3603

Phone

(914) 390-4377

Fax

(914) 253-7507

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Starer

Title

Manager

Phone

(914) 390-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carrollton Nursing & Rehab Center. Doing business as

Tax ID family

Carrollton Cypress LLC2 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.

• Carrollton Cypress LLC

  • Skilled Nursing Facility
  • Carrollton, GA
  • NPI 1891116836
  NPD tax ID

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1124024377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 N HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301176701",
            "telephone_number": "770-748-4116",
            "fax_number": "770-748-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST RED OAK LANE",
            "address_2": "SUITE 201",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043603",
            "telephone_number": "914-390-4377",
            "fax_number": "914-253-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC CARROLLTON NURSING & REHAB CTR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "STARER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-390-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10221753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00059661A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollton Nursing & Rehab Center.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorraine Chastant, LMFT
• Sausa Chavarria Rivera
• Erica Jasmin Chavez
• Katherine Paola Chavez, FNP
• Hitesh Chawla, M.D.
• Cheerful Heart Mental Health Counseling PLLC
• Alisa Y Chen, M.D.
• Cynthia Chen, MD
• Denise Veronica Chen, RPA-C
• Jason Chen

• Skilled Nursing Facility in White Plains, NY
• Providers in White Plains, 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 Mar 21, 2014; 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.