Troy Nursing and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4102312N Issued in NY

Legal business name

TROY NURSING AND REHABILITATION CENTER LLC

Practice address

49 Marvin Ave
Troy, NY 12180-6425

Phone

(508) 273-6646

Fax

(518) 273-0168

NPI assigned

Jun 18, 2006

Organization subpart

Yes

Parent organization

DMN MANAGEMENT SERVICES , LLCAs reported in NPPES

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

Authorized official

Name

Patrick Martone

Title

Ceo

Phone

(518) 346-9640

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• THE SPRINGS NURSING AND REHABILITATION CENTRE Doing business as

Part of

Stanton Rehab Centre

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1295770683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MARVIN AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806425",
            "telephone_number": "508-273-6646",
            "fax_number": "518-273-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MARVIN AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806425",
            "telephone_number": "508-273-6646",
            "fax_number": "518-273-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DMN MANAGEMENT SERVICES , LLC",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "MARTONE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-346-9640"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4102312N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "W",
            "identifier": "302056",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "956381",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10054923",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00360467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B",
            "identifier": "000400690009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "007991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SPRINGS NURSING AND REHABILITATION CENTRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Troy, NY
• Providers in Troy, 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 Nov 22, 2010; 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.