King Street Home Inc

LBN: King Street Home Inc
King Street Home Inc is an health care organization with primary practice located at 787 King St , Rye Brook NY 10573-1225. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. King Street Home Inc can be contacted via phone (914) 937-5800, or through Wilner, Robert via phone (914) 937-5800.

Contact Information

Primary practice address
787 King St Rye Brook NY 10573-1225
Phone: (914) 937-5800
Fax: (914) 949-6986
Website:
Map and Directions
Authorized official contact:
Name: Wilner, Robert
Phone: (914) 937-5800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5906300N New York

Profile Details

NPI number 1447212915
LBN Legal business name King Street Home Inc
DBA Doing business as
Authorized official Wilner, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 3rd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447212915 NPPES
New York MEDICAID 00312978

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