CLR CARTHAGE LLC (NPI# 1578099958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578099958 |
| Entity Type | Organization |
| Organization Name | CLR CARTHAGE LLC |
| Other Organization Name | CARTHAGE CENTER FOR REHABILITATION AND NURSING |
| Practice Address |
1045 West St Carthage NY 13619-9762 |
| Mailing Address |
4770 White Plains Rd Bronx NY 10470-1104 |
| Practice Telephone | 3154933221 |
| Practice Fax Number | 3154936523 |
| Mailing Telephone | 7189319700 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | AMIR ABRAMCHIK (MEMBER) |
| Authorized Official Telephone | 7189319700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2238303N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01192007 | 05 |
| Other Name | Type Code |
|---|---|
| Carthage Center for Rehabilitation and Nursing | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922537844 | Clr Carthage LLC | Internal Medicine | 1045 West St, Carthage, NY 13619-9762 | 2017-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CLR CARTHAGE LLC | 4770 White Plains Road, Bronx, Ny 10470 |
| Street Address |
1045 WEST ST |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619-9762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073558425 | Carthage Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1045 West St, Carthage, NY 13619-9762 | 2006-06-19 |
| 1922537844 | Clr Carthage LLC | Internal Medicine | 1045 West St, Carthage, NY 13619-9762 | 2017-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1720138027 | St.luke's Management Co.,inc. | Skilled Nursing Facility | 1220 E Fairview Ave, Carthage, MO 64836-3122 | 2007-01-11 |
| 1548353063 | Beverly Enterprises - Mississippi Inc | Skilled Nursing Facility | 1101 E Franklin St, Carthage, MS 39051 | 2006-10-02 |
| 1427062363 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 112 Health Care Dr, Carthage, TN 37030-1069 | 2006-07-28 |
| 1073558425 | Carthage Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1045 West St, Carthage, NY 13619-9762 | 2006-06-19 |
| 1467408062 | Northport Health Services of Missouri, LLC | Skilled Nursing Facility | 1901 Buena Vista Ave, Carthage, MO 64836-3178 | 2006-05-25 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| 1639163595 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 4054 Nw Loop, Carthage, TX 75633-3346 | 2005-09-07 |
| 1528067121 | Panola 501 Partners, Lp | Skilled Nursing Facility | 501 Cottage Rd, Carthage, TX 75633-1467 | 2005-07-18 |
| 1629593314 | Eagle Acquisition Ix LLC | Skilled Nursing Facility | 112 Health Care Dr, Carthage, TN 37030-1168 | 2017-08-03 |
| Find all providers in CARTHAGE | ||||
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| 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.