CCRN Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CCRN OPERATOR LLC

Practice address

128 Phoenix Mills Rd
Cooperstown, NY 13326-5716

Phone

(607) 544-2600

NPI assigned

Aug 26, 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 Rehabilitation & Nursing at Otsego Doing business as

Tax ID family

CCRN Operator LLC2 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.

• County of Otsego

  • Skilled Nursing Facility
  • Cooperstown, NY
  • NPI 1891773701
  NPD tax ID

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1811397995",
    "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": "2014-08-26",
        "last_updated": "2014-08-26",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356414",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focus Rehabilitation & Nursing at Otsego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Athena PF Chandy-Hopkins, MS, PT

• Skilled Nursing Facility in Cooperstown, NY
• Providers in Cooperstown, 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 Aug 26, 2014; 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.