Cortlandt Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5901304N Issued in NY

Legal business name

CORTLANDT HEALTHCARE, LLC

Practice address

110 Oregon Rd
Cortlandt Manor, NY 10567-1232

Phone

(914) 739-9150

Fax

(914) 739-3203

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 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

Mr. Scott Wheeler

Title

Executive Director

Phone

(914) 739-9150

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821162066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OREGON RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105671232",
            "telephone_number": "914-739-9150",
            "fax_number": "914-739-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OREGON RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105671232",
            "telephone_number": "914-739-9150",
            "fax_number": "914-739-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLANDT HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-739-9150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5901304N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02062811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Cortlandt Manor, NY
• Providers in Cortlandt Manor, 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 22, 2020; 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.