CCRN Operator LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3824902L Issued in NY

Legal business name

CCRN OPERATOR LLC

Practice address

128 Phoenix Mills Rd
Cooperstown, NY 13326-5716

Phone

(607) 544-2600

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

Joseph Zupnik

Title

Managing Member

Phone

(845) 704-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Focus Home Care At Otsego Doing business as

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1407250012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 PHOENIX MILLS RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265716",
            "telephone_number": "607-544-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PHOENIX MILLS RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265716",
            "telephone_number": "607-544-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRN OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "ZUPNIK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "845-704-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "3824902L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01204053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focus Home Care At Otsego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rita M Casassa, RN
• Lindsey Michelle Castle, PT, DPT
• Susan Cataffo-Heiland, C.N.M.
• Carmine Catalano, MD
• CCRN Operator LLC
• CCRN Operator LLC
• Center for Orthotic and Prosthetic Care of North Carolina Inc
• Rajanpreet S Chahal, M.D.
• Juliana Chamberlin
• Charu Chanana Chanana, M.D.

• Home Health Agency in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.