St. Peter'S Nursing And Rehabilitation Center

LBN: Villa Mary Immaculate
St. Peter'S Nursing And Rehabilitation Center is an health care organization with primary practice located at 301 Hackett Blvd , Albany NY 12208-1963. 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. Villa Mary Immaculate can be contacted via phone (518) 525-7600, or through Cooper, Glen via phone (518) 525-7670.

Contact Information

Primary practice address
301 Hackett Blvd Albany NY 12208-1963
Fax: (518) 525-7673
Website:
Authorized official contact:
Name: Cooper, Glen

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0101305N New York

Profile Details

NPI number 1144215625
LBN Legal business name Villa Mary Immaculate
DBA Doing business as St. Peter'S Nursing And Rehabilitation Center
Authorized official Cooper, Glen
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1144215625 NPPES
New York MEDICAID 00310081

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