CCNH Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1101307N Issued in NY

Legal business name

CCNH INC

Practice address

193 Clinton Ave
Cortland, NY 13045-1420

Phone

(607) 756-9921

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Marc Walker

Title

Administrator

Phone

(607) 756-9921

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cortland Care Center Doing business as

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1376673541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 CLINTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451420",
            "telephone_number": "607-756-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 CLINTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451420",
            "telephone_number": "607-756-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCNH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "607-756-9921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1101307N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE #",
            "identifier": "1101307N",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortland Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dillon Caswell, PT, DPT
• Catholic Charities of Cortland County
• Cathy Zarzecki Physician, PC
• Polly A Cator, MD
• Cayuga Emergency Physicians, LLP
• Ccrnc LLC
• Kristina Lynn Chalupnicki, PT
• Sarah Chambers
• Carolyn C Chang, LMSW
• CHC Pharmacy LLC

• Skilled Nursing Facility in Cortland, NY
• Providers in Cortland, 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 Jan 9, 2008; 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.