Cprnc, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3301326N Issued in NY

Legal business name

CPRNC, LLC

Doing business as

Central Park Rehabilitation and Nursing Center

Practice address

116 Martin Luther King E
Syracuse, NY 13205-1110

Phone

(315) 475-1641

Fax

(315) 478-0688

NPI assigned

Nov 26, 2008

Organization subpart

No

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

Authorized official

Name

Efraim Steif

Title

Member

Phone

(845) 371-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CENTRAL PARK REHABILITATION AND NURSING CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335253001

Legal name

CPRNC, LLC

Doing business as

CENTRAL PARK REHABILITATION AND NURSING CENTER

Organization structure

LLCProprietary

Incorporated

Sep 8, 2008 in NY

Enrollment address

116 Martin Luther King E
Syracuse, NY 13205-1110

Nursing home name

CENTRAL PARK REHABILITATION AND NURSING CENTER

Affiliated entity

UPSTATE SERVICES GROUP

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Central Park2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Park

  • Nursing Care Agency
  • Syracuse, NY
  • NPI 1699092361
  NPD tax ID

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Philip Black, M.D.

  • Family Medicine Physician
  • Watertown, NY
  • NPI 1396727749
  NPD (past)
• Mary C Daye, M.D.

  • Internal Medicine Physician
  • Liverpool, NY
  • NPI 1720050107
  NPD (past)
• William B Richardson, MD

  • Family Medicine Physician
  • Eastport, ME
  • NPI 1457409617
  NPD (past)

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1386899771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HILLCREST CENTER DRIVE",
            "address_2": "SUITE 325",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-371-8100",
            "fax_number": "315-478-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MARTIN LUTHER KING E",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132051110",
            "telephone_number": "315-475-1641",
            "fax_number": "315-478-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPRNC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "STEIF",
        "authorized_official_first_name": "EFRAIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-371-8100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3301326N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL PARK REHABILITATION AND NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL PARK REHABILITATION AND NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet A. Coy, P.T.
• Jennifer Lynn Coyne, FNP
• Lydia Jayne Coyne, PA-C
• Cozy Comfort Home Care LLC.
• Shalynn Cozza
• CQ Partners, LLC
• Kirk A Craig, MD
• Shawna Elizabeth Craigmile-Sciacca, LCSW
• Charles I Craigmile, LCSW
• Elinor J Cramer, LMHC CASAC

• Skilled Nursing Facility in Syracuse, NY
• Providers in Syracuse, 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 Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.