Rensselaer Planning LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

4152303N Issued in NY

Legal business name

RENSSELAER PLANNING LLC

Doing business as

Evergreen Commons

Practice address

1070 Luther Road
East Greenbush, NY 12061

Phone

(518) 479-4662

Fax

(518) 477-4465

NPI assigned

Aug 26, 2006

Last updated

Jul 29, 2008By 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. Brian T Cregin, CPA

Title

Chief Financial Officer

Phone

(518) 479-4662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evergreen Commons Doing business as

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1831207257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 LUTHER ROAD",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "12061",
            "telephone_number": "518-479-4662",
            "fax_number": "518-477-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 LUTHER ROAD",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "12061",
            "telephone_number": "518-479-4662",
            "fax_number": "518-477-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENSSELAER PLANNING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "CREGIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-479-4662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "4152303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in East Greenbush, NY
• Providers in East Greenbush, 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 Jul 29, 2008; 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.