Organization Active NPI

Ulster County

  • Pediatric Skilled Nursing Facility
  • Kingston, NY
National Provider Identifier
1295727212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
55013091 N Issued in NY
Legal business name
ULSTER COUNTY
Practice address
99 Golden Hill Dr
Kingston, NY 12401-6442
Phone
(845) 340-3390
Fax
(845) 340-3828
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheree Perez Cross, MPA RD CDN
Title
Director
Phone
(845) 340-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 55013091 N NY Primary

Addresses

Primary practice location

99 Golden Hill Dr
Kingston, NY 12401-6442

Mailing address

99 Golden Hill Dr
Kingston, NY 12401-6442
Phone (845) 340-3390

Other identifiers 1

IdentifierTypeStateIssuer
00473285MedicaidNY

Other names 1

  • Golden Hill Health Care Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295727212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GOLDEN HILL DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016442",
            "telephone_number": "845-340-3390",
            "fax_number": "845-340-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GOLDEN HILL DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016442",
            "telephone_number": "845-340-3390",
            "fax_number": "845-340-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULSTER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-340-3390",
        "authorized_official_credential": "MPA RD CDN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "55013091 N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473285",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Hill Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.