San Simeon by the Sound Center for Nursing and Rehabilitation, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

5127302N Issued in NY

Legal business name

SAN SIMEON BY THE SOUND CENTER FOR NURSING AND REHABILITATION, INC.

Practice address

61700 Route 48
Greenport, NY 11944-2206

Phone

(631) 477-2110

Fax

(631) 477-8969

NPI assigned

Sep 14, 2010

Last updated

May 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Smyth

Title

Executive Vice President

Phone

(631) 477-2110

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

San Simeon by the Sound Center for Nursing and Rehabilitation 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.

• San Simeon by the Sound Center for Nursing and Rehabilitation, Inc.

  • Skilled Nursing Facility
  • Greenport, NY
  • NPI 1679573109
  NPD tax ID

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1225346133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61700 ROUTE 48",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119442206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61700 ROUTE 48",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119442206",
            "telephone_number": "631-477-2110",
            "fax_number": "631-477-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN SIMEON BY THE SOUND CENTER FOR NURSING AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "631-477-2110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "5127302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03264399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan E Rambo, LICSW
• Zubaidul Razzak, MD
• Christopher Jacob Reiss, PHD
• William Price Rennie, MD
• Patrick Rutka, D.O.
• San Simeon by the Sound Center for Nursing and Rehabilitation, Inc.
• Bruce Edward Saul, LCSW
• Thomas John Schroder Sr., RPH.
• Joseph Carl Sciammarella Jr., MD
• Andrew Shemella, DDS

• Adult Day Care Clinic/Center in Greenport, NY
• Providers in Greenport, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.