Irop LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IROP LLC

Doing business as

Indian River Rehabilitation and Nursing Center

Practice address

17 Madison St
Granville, NY 12832-1221

Phone

(518) 642-2710

Fax

(518) 642-1318

NPI assigned

Oct 25, 2006

Last updated

May 16, 2017By 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

Nathan Stern

Title

Officer

Phone

(732) 942-1344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Indian River Rehabilitation and Nursing Center Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1972687655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MADISON ST",
            "city": "GRANVILLE",
            "state": "NY",
            "postal_code": "128321221",
            "telephone_number": "518-642-2710",
            "fax_number": "518-642-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "732-942-1344"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian River Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynda M Hafner, RN
• Dean J. Harrison, D.C., P.T.RETIRED
• Brooke Lynne Hover, RN
• Indian River Rehabilitation & Health Care Center Inc
• Ir Operations Associates, LLC (Granville Center for Rehabilitation and Nursing)
• John Michael Javier
• Jennifer Ruth Kelley, DDS
• Melinda Renee Lewis
• Emily M Loomis, FNP
• Susan E Loomis, PT

• Skilled Nursing Facility in Granville, NY
• Providers in Granville, 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 May 16, 2017; 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.