Penn Yan Manor Nursing Home, Inc.

LBN: Penn Yan Manor Nursing Home, Inc.
Penn Yan Manor Nursing Home, Inc. is an health care organization with primary practice located at 655 Liberty St , Penn Yan NY 14527-1048. 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. Penn Yan Manor Nursing Home, Inc. can be contacted via phone (315) 536-2311, or through Fish, Jessica via phone (315) 536-2311.

Contact Information

Primary practice address
655 Liberty St Penn Yan NY 14527-1048
Phone: (315) 536-2311
Fax: (315) 536-1033
Website:
Map and Directions
Authorized official contact:
Name: Fish, Jessica
Phone: (315) 536-2311

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 6120300N New York

Profile Details

NPI number 1760476568
LBN Legal business name Penn Yan Manor Nursing Home, Inc.
DBA Doing business as
Authorized official Fish, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 3rd, 2023 - about last year

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 1760476568 NPPES
New York MEDICAID 00355711
New York Other 6120300N
New York Other 1162

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