Mohawk Valley Nursing Home
LBN: Mohawk Valley Nursing Home
Mohawk Valley Nursing Home is an health care organization with primary practice located at 99 6Th Ave , Ilion NY 13357-1527. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Mohawk Valley Nursing Home can be contacted via phone (315) 895-4050, or through Reid, Ralph P via phone (315) 895-4050.
Contact Information
Primary practice address
99 6Th Ave
Ilion NY 13357-1527
Phone: (315) 895-4050
Fax: (315) 895-7197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1194894022 |
|---|---|
| LBN Legal business name | Mohawk Valley Nursing Home |
| DBA Doing business as | |
| Authorized official | Reid, Ralph P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Aug 29th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194894022 | NPPES |
| New York | MEDICAID | 00473941 | |
| New York | MEDICAID | 01167977 |
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