Northern Dutchess Residential Health Care Facility Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1327302N Issued in NY

Legal business name

NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY INC.

Practice address

6525 Spring Brook Ave
Rhinebeck, NY 12572-3709

Phone

(845) 871-3760

Fax

(845) 871-3723

NPI assigned

Nov 28, 2005

Last updated

Apr 11, 2022By 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

Steven Rosenberg

Title

Chief Financial Officer

Phone

(203) 739-7240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Thompson House Other name

Electronic endpoints 1

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1932182623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 SPRING BROOK AVE",
            "address_2": "P.O. BOX 514",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-871-3760",
            "fax_number": "845-871-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-871-3760",
            "fax_number": "845-871-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-739-7240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1327302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314003",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Thompson House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Thompson House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Rhinebeck, NY
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• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.