Organization Active NPI

Reconstruction Home and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Ithaca, NY
National Provider Identifier
1386736098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5401309N Issued in NY
Legal business name
RECONSTRUCTION HOME AND HEALTH CARE CENTER, INC.
Practice address
318 S Albany St
Ithaca, NY 14850-5406
Phone
(607) 273-4166
Fax
(607) 277-7004
NPI assigned
Sep 29, 2006
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
Ms. Victoria L. Morabito, NYS ADMINISTRATOR
Title
Ceo
Phone
(607) 273-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5401309N NY Primary

Addresses

Primary practice location

318 S Albany St
Ithaca, NY 14850-5406

Mailing address

318 S Albany St
Ithaca, NY 14850-5406
Phone (607) 273-4166

Other identifiers 1

IdentifierTypeStateIssuer
00365857MedicaidNY

Other names 1

  • Beechtree Care Center, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386736098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505406",
            "telephone_number": "607-273-4166",
            "fax_number": "607-277-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505406",
            "telephone_number": "607-273-4166",
            "fax_number": "607-277-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTION HOME AND HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORABITO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-273-4166",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NYS ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5401309N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beechtree Care Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ithaca, 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.