Hamlet at Wallkill

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAMLET AT WALLKILL

Doing business as

Braemar Living at Wallkill

Practice address

21 Riverside Dr
Middletown, NY 10941-4048

Phone

(845) 695-5600

Fax

(845) 695-5601

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By 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

Maryann Crenny

Title

Director of Operations

Phone

(914) 305-2230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Braemar Living at Wallkill Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1710592605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RIVERSIDE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414048",
            "telephone_number": "845-695-5600",
            "fax_number": "845-695-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RIVERSIDE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414048",
            "telephone_number": "845-695-5600",
            "fax_number": "845-695-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLET AT WALLKILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "CRENNY",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "914-305-2230"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04197224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braemar Living at Wallkill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiera Halligan, PA-C
• Luico Hallman III
• Rebecca J. Halpern, MS CCC-SLP
• Danielle Halstein, LCSW
• Stephen J Hamel, L. AC.
• Nouran Husam Hammad, MBBS
• Tracie Lynn Hammer, MSW
• Kevin Hammond, CASAC-T
• Hampton Family Dentistry
• Christopher S. Han, MD

• Assisted Living Facility in Middletown, NY
• Providers in Middletown, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.