Carillon Nursing and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5153306N Issued in NY

Legal business name

CARILLON NURSING AND REHABILITATION CENTER LLC

Practice address

830 Park Ave
Huntington, NY 11743-4543

Phone

(631) 271-5800

Fax

(631) 271-5806

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Joseph F Carillo II

Title

Administrator

Phone

(631) 271-5800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335286

Legal name

CARILLON NURSING AND REHABILITATION CENTER, LLC

Doing business as

CARILLON NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 7, 1969

Last certification

May 19, 2025

Beds

315

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 10, 1999 in NY

Enrollment address

830 Park Ave
Huntington, NY 11743-4543

Nursing home name

CARILLON NURSING AND REHABILITATION CENTER

Affiliated entity

CASSENA CARE

Listed as

Carillon Nursing and Rehabilitation CenterCCN 335286

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 7, 1969

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

315289.7 residents per day on average

Chain

Cassena Care13 facilities in the chain

Penalties (3 years)

1Fines totaling $22,523

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony J Antonucci, MD

  • Internal Medicine Physician
  • Huntington, NY
  • NPI 1811007743
  NPD (past)
• Jonathan Ohebsion, M.D.

  • Internal Medicine Physician
  • Plainview, NY
  • NPI 1386871176
  NPD (past)
• Perumal Thiyagarajan, M.D.

  • Internal Medicine Physician
  • New Brunswick, NJ
  • NPI 1760811582
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anthony J Antonucci, MD

  • Internal Medicine Physician
  • Huntington, NY
  • NPI 1811007743

  Nursing home

  Care Compare affiliation
• Jonathan Ohebsion, M.D.

  • Internal Medicine Physician
  • Plainview, NY
  • NPI 1386871176

  Nursing home

  Care Compare affiliation
• Syed Samar Raza, M.D.

  • Internal Medicine Physician
  • Bay Shore, NY
  • NPI 1285734715

  Nursing home

  Care Compare affiliation
• Perumal Thiyagarajan, M.D.

  • Internal Medicine Physician
  • New Brunswick, NJ
  • NPI 1760811582

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1265429856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434543",
            "telephone_number": "631-271-5800",
            "fax_number": "631-271-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434543",
            "telephone_number": "631-271-5800",
            "fax_number": "631-271-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "CARILLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-271-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5153306N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02994934",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "335286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salvatore J Caravella, M.D.
• Andrea Carbajal
• Dena Cardillo, LMSW
• Carillon Dialysis, LLC
• Carillon Nursing & Rehabilitation Center, LLC
• Andrea R. Carlsen, MD
• Meaghan Carlson
• Melanie Carminati, PT, DPT
• Damon Carnes, RN
• Jessica Carney, INTERN

• Skilled Nursing Facility in Huntington, NY
• Providers in Huntington, 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 Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.