PRNC Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0901301N Issued in NY

Legal business name

PRNC OPERATING LLC

Doing business as

Plattsbugh Rehabilitation & Nursing Center

Practice address

8 Bushey Blvd
Plattsburgh, NY 12901-3761

Phone

(518) 563-3261

NPI assigned

Dec 30, 2015

Last updated

Nov 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Barth

Title

Member

Phone

(914) 597-7600

Specialties & licenses 1

Addresses

Other names 1

• Plattsbugh Rehabilitation & Nursing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548625882. Details of each certification follow.

• CCN 335528001 Skilled nursing facility · Details

Skilled nursing facility certification: CCN 335528001

Legal name

PRNC OPERATING LLC

Doing business as

PLATTSBURGH REHAB & NURSING CENTER

Organization structure

LLCProprietary

Enrollment address

8 Bushey Blvd
Plattsburgh, NY 12901-3761

Nursing home name

PLATTSBURGH REHABILITATION AND NURSING CENTER

Affiliated entity

PERSONAL HEALTHCARE MANAGEMENT

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sarika Shah-Sekhon, MD

  • Hospitalist Physician
  • Ogdensburg, NY
  • NPI 1255516852

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn S Schroyer, M.D.

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1336168780
  NPD (past)
• Sarika Shah-Sekhon, MD

  • Hospitalist Physician
  • Ogdensburg, NY
  • NPI 1255516852
  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1548625882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WOOD CT",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913108",
            "telephone_number": "914-597-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BUSHEY BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013761",
            "telephone_number": "518-563-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRNC OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "914-597-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0901301N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plattsbugh Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William P. Prevo, PA
• Nancy Hathcock Pribble, MSED
• Primary Care Health Partners
• Primary Care Health Partners - New York LLP
• Primary Care Health Partners-Adirondack LLC
• PRNC Operating LLC (Plattsburgh Rehabilitation and Nursing Center)
• Pro-Care Hearing, LLC
• John Anthony Prondecki, DMD
• Amiee Kristin Kota Provost, PHARMD
• Carissa Provost, LMHC-P

• Skilled Nursing Facility in Plattsburgh, NY
• Providers in Plattsburgh, 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 Nov 7, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.