CHC CARROLLTON NURSING & REHAB CTR, LLC


Address: 4 West Red Oak Lane, Suite 201, White Plains, NY 10604-3603
Phone: 9143904377

CHC CARROLLTON NURSING & REHAB CTR, LLC (NPI# 1124024377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124024377
Entity Type Organization
Organization Name CHC CARROLLTON NURSING & REHAB CTR, LLC
Other Organization Name CARROLLTON NURSING & REHAB CENTER.
Practice Address 4 West Red Oak Lane
Suite 201
White Plains
NY 10604-3603
Mailing Address 2327 N Highway 27
Carrollton
GA 30117-6701
Practice Telephone 9143904377
Practice Fax Number 9142537507
Mailing Telephone 7707484116
Mailing Fax Number 7707482932
Enumeration Date 2005-06-22
Last Update Date 2014-03-21
Authorized Official Name MR. MITCHELL STARER (MANAGER)
Authorized Official Telephone 9143904300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 10221753 GA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 00059661A 05

Other Provider/Organization Names

Other Name Type Code
Carrollton Nursing & Rehab Center. Doing Business As Name - Organization

Office Location

Street Address 4 WEST RED OAK LANE
SUITE 201
City WHITE PLAINS
State NY
Zip Code 10604-3603

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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Competitor

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City WHITE PLAINS
Zip Code 10604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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