GK Coram Operating, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GK CORAM OPERATING, LLC

Practice address

463 Middle Country Rd
Coram, NY 11727-3758

Phone

(516) 997-0010

NPI assigned

Dec 1, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Dioguardi

Title

Coo/Cfo

Phone

(516) 496-1505

Specialties & licenses 2

Addresses

Other names 1

• All American Assisted Living at Coram Other name

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1306504998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JERICHO QUADRANGLE STE 142",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532702",
            "telephone_number": "516-496-1505",
            "fax_number": "516-209-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273758",
            "telephone_number": "516-997-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK CORAM OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "DIOGUARDI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "516-496-1505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All American Assisted Living at Coram",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon Gilson, M.S. CCC SLP
• Gabriella Nicole Giordano
• Violet-Marie Giorgio
• Lenore Gipp, RN
• Cameron Gittens, NP
• Janine Glass, MS, ATC
• Jessica Ann Goksin, OTR/L
• Annamarie Goldblatt, PMHNP-BC
• Jeanette Gomez, L.P.N
• Katherine Gonzales

• Assisted Living Facility in Coram, NY
• Providers in Coram, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.